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Current Medical Science

, Volume 39, Issue 1, pp 81–87 | Cite as

Comparison of Efficacy between 3D Navigation-Assisted Percutaneous Iliosacral Screw and Minimally Invasive Reconstruction Plate in Treating Sacroiliac Complex Injury

  • Qi-lin Lu
  • Yi-liang Zhu
  • Xu-gui Li
  • Wei Xie
  • Xiao-zhen Wang
  • Xue-zhen Shao
  • Xian-hua CaiEmail author
  • Xi-ming LiuEmail author
Article
  • 6 Downloads

Abstract

The clinical efficacy was compared between 3D navigation-assisted percutaneous iliosacral screw (3DPS) and minimally invasive reconstruction plate (MIRP) in treating sacroiliac complex injury and the surgical procedures of 3DPS were introduced. A retrospective analysis was performed on 49 patients with sacroiliac complex injury from March 2013 to May 2017. Twenty-one cases were treated by 3DPS, and 28 cases by MIRP. Intraoperative indexes as operative time, blood loss, incision length, length of hospital stay and postoperative complications were respectively documented. Quality of reduction was postoperatively evaluated by Matta radiological criteria, and clinical effect was assessed by Majeed scoring criteria at the last follow-up. Operative time and hospital stay were significantly shortened, and blood loss, and incision length were significantly reduced in 3DPS group as compared with those in MIRP group (P<0.05). No statistically significant difference was found between 3DPS group and MIRP group in the assessment of reduction and function (P>0.05). It was concluded that both 3DPS and MIRP can effectively treat the sacroiliac complex injury, and 3DPS can provide an accurate, safe and minimally invasive fixation with shorter operative time and hospital stay.

Key words

sacroiliac complex injury 3D navigation-assisted system percutaneous iliosacral screw minimally invasive reconstruction plate 

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Copyright information

© Huazhong University of Science and Technology 2019

Authors and Affiliations

  • Qi-lin Lu
    • 1
  • Yi-liang Zhu
    • 1
  • Xu-gui Li
    • 1
  • Wei Xie
    • 1
  • Xiao-zhen Wang
    • 1
  • Xue-zhen Shao
    • 1
  • Xian-hua Cai
    • 2
    Email author
  • Xi-ming Liu
    • 2
    Email author
  1. 1.Department of OrthopaedicsHubei 672nd Orthopaedics Hospital of Integrated Chinese & Western MedicineWuhanChina
  2. 2.Department of Orthopaedicsthe PLA General Hospital of Central Theater CommandWuhanChina

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