title: Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate.
abstract: OBJECTIVE
  Sacroiliac screw fixation is the method of choice for the definitive treatment of unstable posterior pelvic-ring injuries; however, this technique is demanding and associated with a high risk of iatrogenic neurovascular damage. This study evaluates whether minimally invasive transiliac locked compression plate stabilisation may be an alternative to sacroiliac screw fixation in unstable posterior pelvic-ring injuries.
  
  
  METHODS
  We performed a retrospective analysis of patients with unstable pelvic-ring injuries treated with a transiliac locked compression plate at a level I trauma centre. Outcome evaluation was assessed using the Pelvic Outcome Score and analysis of complications, intraoperative fluoroscopic time, and duration of the surgical procedure.
  
  
  RESULTS
  Twenty-one patients were available for follow-up after an average of 30 months. The main findings were as follows: Overall outcome for the Pelvic Outcome Score was excellent in 47.6% (ten patients), good in 19% (four patients), fair in 28.6% (six patients), and poor in 4.8% (one patient). Average operation time was 101 min and intraoperative fluoroscopic time averaged 74.2 s. No iatrogenic neurovascular injuries were observed.
  
  
  CONCLUSIONS
  Minimally invasive transiliac locked compression plate stabilisation may be a good alternative to sacral screw fixation because it is quick, safe and associated with a good functional outcome.
authors.affiliation: Department of Orthopaedic Trauma Surgery, Städtisches Klinikum Braunschweig, Brunswick, Germany. pkobbe@ukaachen.de
authors.forename: Philipp
authors.initials: P
authors.lastname: Kobbe
authors.forename: Ingrid
authors.initials: I
authors.lastname: Hockertz
authors.forename: Richard M
authors.initials: RM
authors.lastname: Sellei
authors.forename: Heinrich
authors.initials: H
authors.lastname: Reilmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Hockertz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001860:Bone Plates; D001863:Bone Screws / Q000009:adverse effects; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010384:Pelvic Bones / Q000293:injuries*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult