Conventional plate fixation versus minimally invasive modified pedicle screw-rod fixation for anterior pelvic ring fractures

There are various methods of fixation for anterior pelvic ring fractures. We report our experience with modified pedicle screw-rod fixation (MPSRF) via a minimally invasive method. Fourteen patients with anterior pelvic ring fracture were treated by internal fixation (conventional plate fixation, n...

Full description

Saved in:
Bibliographic Details
Published in:PloS one 2019-04, Vol.14 (4), p.e0215233-e0215233
Main Authors: Tsai, Yao-Tung, Hsu, Chun-Liang, Hung, Chun-Chi, Chou, Yu-Ching, Wu, Chia-Chun, Yeh, Tsu-Te
Format: Article
Language:English
Subjects:
Adult
Biology and Life Sciences
Blood
Bone Plates
Bones
Care and treatment
Diagnosis
Diagnostic imaging
Engineering and Technology
Evaluation
Female
Fixation
Fracture Fixation, Internal - instrumentation
Fracture repair
Fractures
Fractures (Injuries)
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Hospitals
Humans
Imaging, Three-Dimensional
Injuries
Internal fixation
Male
Medicine and Health Sciences
Middle Aged
Minimally Invasive Surgical Procedures - instrumentation
Minimally Invasive Surgical Procedures - methods
Patients
Pedicle Screws
Pelvic Bones - diagnostic imaging
Pelvic Bones - injuries
Pelvic Bones - surgery
Pelvic fractures
Radiography
Research and Analysis Methods
Retrospective Studies
Surgery
Surgical techniques
Systematic review
Tomography, X-Ray Computed
Trauma
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:There are various methods of fixation for anterior pelvic ring fractures. We report our experience with modified pedicle screw-rod fixation (MPSRF) via a minimally invasive method. Fourteen patients with anterior pelvic ring fracture were treated by internal fixation (conventional plate fixation, n = 7; MPSRF, n = 7). Intraoperative blood loss, operative time, post-operative fracture reduction grading by radiography, and complication rates were compared and statistically analyzed. Patients treated with MPSRF had a shorter operative time (-36 min, P = 0.378) and significantly less blood loss (-264 ml, P = 0.026) than patients in the conventional plate fixation group. Postoperative radiological evaluations were similar between the groups (P > 0.05). The complication rate was lower in the MPSRF group (1/7 patients) than in the plate fixation group (2/7 patients). Modified pedicle screw-rod fixation is a viable treatment for anterior pelvic ring fixation and can reduce blood loss.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0215233