title: The antishock iliosacral screw.
abstract: Acute traumatic pelvic ring injuries are associated with life-threatening hemorrhage related to pelvic instability. Rapid and effective methods to mechanically stabilize the pelvic injury are often a prerequisite for patient survival. Most of these methods have significant disadvantages because of either difficult application or limited efficacy. Pelvic antishock clamp placement is difficult and dangerous, and circumferential pelvic antishock sheeting is not universally effective in reducing and stabilizing the pelvic ring. We describe a technique of acute posterior pelvic ring reduction and stabilization using a percutaneously inserted iliosacral screw as a resuscitation adjunct.
authors.affiliation: Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA. gardnerm@wudosis.wustl.edu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Gardner
authors.forename: M L
authors.initials: ML
authors.lastname: Chip Routt
mesh_terms: D000063:Accidents, Traffic; D001863:Bone Screws; D016267:External Fixators; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000601:surgery; D008297:Male; D009049:Motorcycles; D009104:Multiple Trauma; D010384:Pelvic Bones / Q000293:injuries / Q000601:surgery*; D011474:Prosthesis Design; D012151:Resuscitation / Q000379:methods; D012447:Sacrum / Q000601:surgery; D012771:Shock, Hemorrhagic / Q000517:prevention & control*; D016896:Treatment Outcome; D055815:Young Adult