SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
Keywords:pelvis, spino-pelvic fixation, bone block
Objectives. The instability of the posterior pelvic ring occurs in severe fractures of the pelvis type B and C, of the Tile classification, and, in the last years, is constantly increasing and requires new methods of osteosynthesis. The aim of the study was to present and introduce, in clinical practice, the spino-pelvic stabilization in patients with posterior pelvic ring lesion and evaluation of the surgical treatment results.
Material and methods. The study included 5 patients, with a mean age of 43.8 years, treated during 2017–2018 years, within the Institute of Emergency Medicine, Chișinău, Republic of Moldova and were followed on medical check-ups.
Results and discussions. After performing the internal osteosynthesis of the posterior pelvis, by spinopelvic fixation, a satisfactory bone block was formed, in all patients, which was evaluated radiologically in time. There were no complications during the patient's follow-up period. Four patients returned to work. A polytraumatized patient is in rehabilitation and recovery, but who can take care of herself and move independently.
Conclusion. The spino-pelvic fixation method allowed a firm fixation of the posterior hemipelvis, highlighting a low morbidity rate, compared to the methods of external osteosynthesis of the pelvic fractures. This allowed to perform, if necessary, the intraoperative decompression of posttraumatically damaged nerve structures and allowed the formation of a satisfactory bone block.
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