Conventional plate fixation versus minimally invasive modified pedicle screw-rod fixation for anterior pelvic ring fractures.
case_control · Level III
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- Record sourced from PubMed, PMID 30958869.
- Also identified by DOI 10.1371/journal.pone.0215233 and PMC identifier 6453462.
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Abstract
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.
Medical subject headings
- Bone Plates
- Fractures, Bone
- Pedicle Screws
- Pelvic Bones