title: Early results of percutaneous iliosacral screws placed with the patient in the supine position.
abstract: The operative management of pelvic ring fractures and dislocations is difficult. Posterior pelvic ring disruptions are often associated with severe soft-tissue injuries and high infection rates. Percutaneous iliosacral screw fixation of the posterior pelvis has become popular with improved fluoroscopic imaging techniques. The percutaneous iliosacral screw technique after closed reduction of the posterior pelvic disruption minimally violates the soft-tissue envelope and should diminish both the operative blood loss and infection rate. The early results and complications are documented in our first 68 patients.
authors.affiliation: Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Seattle, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Routt
authors.forename: P J
authors.initials: PJ
authors.lastname: Kregor
authors.forename: P T
authors.initials: PT
authors.lastname: Simonian
authors.forename: K A
authors.initials: KA
authors.lastname: Mayo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001863:Bone Screws; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D012446:Sacroiliac Joint / Q000293:injuries; D017695:Soft Tissue Injuries / Q000601:surgery; D016683:Supine Position; D014057:Tomography, X-Ray Computed