Outcome of percutaneous iliosacral screw fixation of sacroiliac joint disruptions

Abstract

Background: Closed reduction and percutaneous fixation of sacroiliac joint disruptions has the advantage of minimal invasion of compromised soft tissue, limited blood loss, decreased operation time, and decreased infection rates. The objectives of this study was to evaluate the functional and radiological outcome after percutaneous fixation of sacroiliac joint (SIJ) disruptions by cannulated screw. Objectives: Management of sacroiliac joint disruptions by closed reduction and percutaneous fixation by iliosacral screw. Patients and Methods: This study was carried out in Orthopedic Surgery Department, Zagazig University Hospitals, during the period from May 2018 to September 2019. The study included 12 patients with age ranged from 19-59 years, 7 males and 5 females. Mode of injury was road traffic accident in 58.3% of cases and fall from height in 41.7%, right side was affected in 6 patients, left side was affected in 5 patient and one patient was affected bilaterally. Results: All patients were evaluated clinically according to Majeed scoring system. The overall Majeed score was satisfactory in 75%, while unsatisfactory results were in 25% of cases. Postoperative radiological evaluation was done according to Matta and tornetta. 25% patients had excellent results, 50% had good results and 25% had fair results. Postoperative complication were superficial infection in 6 patients and one patient had chronic posterior pelvic pain. Conclusion: Percutaneous method of fixation of the SIJ disruptions is effective and favourable method ensuring low operative time, high chance of obtaining stable pelvic ring with minimal blood loss, low incidence of complications and good rehabilitation results especially early mobilization.