1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.injury.2008.06.039" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.injury.2008.06.039</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
405-409
Issue
4
Volume
40
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures
Publisher
An entity responsible for making the resource available
Injury-International Journal of the Care of the Injured
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
2009-04
Subject
The topic of the resource
Emergency Medicine; experience; General & Internal Medicine; iliosacral screw fixation; internal-fixation; management; Morel-Lavallee lesion; neurological injury; Orthopedics; osteosynthesis; Pelvic fracture; pelvic ring disruptions; Plate fixation; Posterior approach; reduction; Sacral fracture; stabilization; Surgery
Creator
An entity primarily responsible for making the resource
Suzuki T; Hak D J; Ziran B H; Adams S A; Stahel P F; Morgan S J; Smith W R
Description
An account of the resource
Vertically unstable sacral fractures often make it difficult to achieve rigid fixation and there is no consensus on the optimal fixation technique for these injuries. The purpose of this Study was to evaluate complication rate and short-term outcome of vertically unstable sacral fractures treated by posterior transiliac plate fixation. We performed a retrospective review of prospectively collected data of patients who underwent posterior transiliac plating for sacral fractures at two institutions. All patients were treated with the standard posterior approach using a 4.5-mm reconstruction plate and followed for at least 12 months. Patients' demographics, Majeed functional questionnaire surveys, and radiographic outcomes were collected. There were 19 patients with a mean age of 37.5-years. The mean follow-up was 26.3 months. The most frequent mechanism of injury was a fall from a height. According to the AO/OTA classification, there were 10 C1, 6 C2, and 3 C3, which were classified as 2 Denis 1, 20 Denis 11, and 2 Denis 111, including 5 bilateral sacral fractures. Neurological deficit at the initial examination was recorded in 10 patients. The mean ISS was 20.7 and the mean timing of the internal fixation was 6.4 days. Anterior internal fixation of pelvic ring was added in eight patients. A Morel-Lavallee lesion was identified in 5 patients during the operation. Reductions were graded as nine excellent, seven good, and three fair according to the method of Tornetta. There were two postoperative surgical Wound infections, both occurring in patients with a Morel-Lavallee lesion. All the sacral fractures united eventually and no implant failure occurred, though there were two patients with a small loss of reduction (<5 mm) over the follow-up period. A total of 18 patients completed the functional assessment with a mean score of 78.5 points. Posterior plate fixation of vertically unstable sacral fractures is effective in maintaining fracture reduction even in the presence of significant posterior comminution. We caution its use in the presence of a known Morel-Lavallee lesion, as this may increase the wound complication and infection risk. (C) 2008 Elsevier Ltd. All rights reserved.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.injury.2008.06.039" target="_blank" rel="noreferrer noopener">10.1016/j.injury.2008.06.039</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2009
Adams S A
Emergency Medicine
experience
General & Internal Medicine
Hak D J
iliosacral screw fixation
Injury-International Journal of the Care of the Injured
internal-fixation
Journal Article
Management
Morel-Lavallee lesion
Morgan S J
neurological injury
Orthopedics
osteosynthesis
Pelvic fracture
pelvic ring disruptions
Plate fixation
Posterior approach
reduction
Sacral fracture
Smith W R
stabilization
Stahel P F
Surgery
Suzuki T
Ziran B H