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CardioVascular and Interventional Radiology

, Volume 20, Issue 4, pp 285–294 | Cite as

Posterior pelvic ring fractures: Closed reduction and percutaneous CT-guided sacroiliac screw fixation

  • Augustinus Ludwig Jacob
  • Peter Messmer
  • Klaus-Wilhelm Stock
  • Norbert Suhm
  • Bernard Baumann
  • Pietro Regazzoni
  • Wolfgang Steinbrich
Clinical Investigations

Abstract

Purpose

To assess the midterm results of closed reduction and percutaneous fixation (CRPF) with computed tomography (CT)-guided sacroiliac screw fixation in longitudinal posterior pelvic ring fractures.

Methods

Thirteen patients with 15 fractures were treated. Eleven patients received a unilateral, two a bilateral, screw fixation. Twenty-seven screws were implanted. Continuous on-table traction was used in six cases. Mean radiological follow-up was 13 months.

Results

Twenty-five (93%) screws were placed correctly. There was no impingement of screws on neurovascular structures. Union occurred in 12 (80%), delayed union in 2 (13%), and nonunion in 1 of 15 (7%) fractures. There was one screw breakage and two axial dislocations.

Conclusion

Sacroiliac CRPF of longitudinal fractures of the posterior pelvic ring is technically simple, minimally invasive, well localized, and stable. It should be done by an interventional/surgical team. CT is an excellent guiding modality. Closed reduction may be a problem and succeeds best when performed as early as possible.

Key words

Pelvis, fractures Interventional procedures Computed tomography guidance Closed reduction and percutaneous fixation (CRPF) 

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Copyright information

© Springer-Verlag New York Inc 1997

Authors and Affiliations

  • Augustinus Ludwig Jacob
    • 1
  • Peter Messmer
    • 2
  • Klaus-Wilhelm Stock
    • 1
  • Norbert Suhm
    • 2
  • Bernard Baumann
    • 1
  • Pietro Regazzoni
    • 2
  • Wolfgang Steinbrich
    • 1
  1. 1.Institute of Diagnostic RadiologyKantonsspital-UniversitätsklinikenBaselSwitzerland
  2. 2.Department of SurgeryKantonsspital-UniversitätsklinikenBaselSwitzerland

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