Francesco Liuzza1, Noemi Silluzio2,3, Michela Florio4, Omar El Ezzo5, Gianpiero Cazzato5, Gianluca Ciolli5, Carlo Perisano5, Giulio Maccauro5. 1. Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. 2. Università degli Studi di Messina, Policlinico Universitario G. Martino, Messina, Italy. noemisilluzio11@gmail.com. 3. Orthopedic and Traumatology Institute, University Hospital G. Martino, Messina, Italy. noemisilluzio11@gmail.com. 4. Università degli Studi di Messina, Policlinico Universitario G. Martino, Messina, Italy. 5. Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Abstract
PURPOSE: The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality. METHODS: The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization. RESULTS: The stabilization of these injuries can be difficult even in a patient with adequate bone stock and concomitant medical comorbidities. The posterior-ring tension-band metallic plate and sacroiliac joint screw are two commonly used methods for posterior internal fixation of the pelvis. CONCLUSIONS: In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.
PURPOSE: The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality. METHODS: The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization. RESULTS: The stabilization of these injuries can be difficult even in a patient with adequate bone stock and concomitant medical comorbidities. The posterior-ring tension-band metallic plate and sacroiliac joint screw are two commonly used methods for posterior internal fixation of the pelvis. CONCLUSIONS: In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.
Authors: Miguel Pishnamaz; Thomas Dienstknecht; Barbara Hoppe; Christina Garving; Henning Lange; Frank Hildebrand; Philipp Kobbe; Hans-Christoph Pape Journal: Int Orthop Date: 2015-08-11 Impact factor: 3.075
Authors: Giuseppe Rovere; Andrea Perna; Luigi Meccariello; Domenico De Mauro; Alessandro Smimmo; Luca Proietti; Francesco Falez; Giulio Maccauro; Francesco Liuzza Journal: Int Orthop Date: 2021-08-10 Impact factor: 3.075