Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study
Background and Aims: Posterior pelvic ring disruption has been associated with high-energy trauma, and significant morbidity and mortality. We aimed to determine functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries at a major trauma centre. Metho...
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Elsevier
2025-09-01
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| Series: | Surgery in Practice and Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262025000221 |
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| author | Grace EM Kennedy Ramy Rashed Joshua Lau Maham Khan Mohammad Abdelmonem Sathya Lakpriya Bryony Ford Ahmed El-Bakoury |
| author_facet | Grace EM Kennedy Ramy Rashed Joshua Lau Maham Khan Mohammad Abdelmonem Sathya Lakpriya Bryony Ford Ahmed El-Bakoury |
| author_sort | Grace EM Kennedy |
| collection | DOAJ |
| description | Background and Aims: Posterior pelvic ring disruption has been associated with high-energy trauma, and significant morbidity and mortality. We aimed to determine functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries at a major trauma centre. Methods: Patients who underwent sacroiliac screw fixation at our institution, between 1st January 2013 – 1st April 2020 were identified from a database. Electronic systems were accessed to obtain information regarding patient demographics, injuries sustained, and interventions performed. Patients were contacted via telephone regarding clinical outcomes (EQ5D3L, EQVAS and Majeed scores). Radiographical outcomes were assessed using the Keshishyan cross-measure method. Results: 115 patients were identified. The mean age at injury was 51.6 years (17–84 years). Most injuries resulted from falls and road traffic collisions (83.5 %). Eighty patients (69.6 %) sustained additional non-pelvic injuries and twenty-nine (25.2 %) underwent a non-pelvic procedure, most commonly limb or clavicle fracture fixation (N = 19). Thirty-day and 12-month all-cause mortality rates were 0.9 % and 1.7 %, respectively. Clinical outcomes were obtained for 82/105 possible patients (78.1 %). Regarding EQ5D3L, 36/82 patients (43.9 %) reported a full health status; only six patients reported severe problems. The mean Majeed score was 70.3. 49/59 patients (86.0 %) returned to their pre-injury employment. A significant association was found between the clinical outcomes (EQ5D3L index, EQVAS, Majeed score) and the pre-operative asymmetry value and deformity index but not the post-operative asymmetry value and deformity index. One patient (0.9 %) required revision for infection, 12 patients (10.4 %) reported post-operative lower limb paraesthesia, and one patient (0.9 %) experienced a post-operative deep vein thrombus. Conclusions: Most patients with pelvic ring injuries experienced high-energy trauma, often resulting in multiple injuries and operative interventions. Nevertheless, mortality rates were low, and most patients experienced either mild or no functional difficulties. The magnitude of the pelvic deformity pre-operatively correlates with post-operative clinical scores. |
| format | Article |
| id | doaj-art-b5a158a5a7ed4d17a0163476aaa690f7 |
| institution | Kabale University |
| issn | 2666-2620 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
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| series | Surgery in Practice and Science |
| spelling | doaj-art-b5a158a5a7ed4d17a0163476aaa690f72025-08-20T03:50:21ZengElsevierSurgery in Practice and Science2666-26202025-09-012210029310.1016/j.sipas.2025.100293Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective studyGrace EM Kennedy0Ramy Rashed1Joshua Lau2Maham Khan3Mohammad Abdelmonem4Sathya Lakpriya5Bryony Ford6Ahmed El-Bakoury7Royal Devon University Healthcare NHS Foundation Trust, Barrack Road Exeter Devon, EX2 5DW, United Kingdom; Corresponding author.University Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United KingdomUniversity Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United KingdomUniversity Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United KingdomUniversity Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United KingdomUniversity Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United KingdomUniversity Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United KingdomUniversity Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth PL6 8DH, United Kingdom; Alexandria University, Department of Orthopaedic Surgery and Traumatology, 22 El-Gaish Rd Al Azaritah WA Ash Shatebi, Bab Sharqi, Alexandria Governorate, 5424041, EgyptBackground and Aims: Posterior pelvic ring disruption has been associated with high-energy trauma, and significant morbidity and mortality. We aimed to determine functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries at a major trauma centre. Methods: Patients who underwent sacroiliac screw fixation at our institution, between 1st January 2013 – 1st April 2020 were identified from a database. Electronic systems were accessed to obtain information regarding patient demographics, injuries sustained, and interventions performed. Patients were contacted via telephone regarding clinical outcomes (EQ5D3L, EQVAS and Majeed scores). Radiographical outcomes were assessed using the Keshishyan cross-measure method. Results: 115 patients were identified. The mean age at injury was 51.6 years (17–84 years). Most injuries resulted from falls and road traffic collisions (83.5 %). Eighty patients (69.6 %) sustained additional non-pelvic injuries and twenty-nine (25.2 %) underwent a non-pelvic procedure, most commonly limb or clavicle fracture fixation (N = 19). Thirty-day and 12-month all-cause mortality rates were 0.9 % and 1.7 %, respectively. Clinical outcomes were obtained for 82/105 possible patients (78.1 %). Regarding EQ5D3L, 36/82 patients (43.9 %) reported a full health status; only six patients reported severe problems. The mean Majeed score was 70.3. 49/59 patients (86.0 %) returned to their pre-injury employment. A significant association was found between the clinical outcomes (EQ5D3L index, EQVAS, Majeed score) and the pre-operative asymmetry value and deformity index but not the post-operative asymmetry value and deformity index. One patient (0.9 %) required revision for infection, 12 patients (10.4 %) reported post-operative lower limb paraesthesia, and one patient (0.9 %) experienced a post-operative deep vein thrombus. Conclusions: Most patients with pelvic ring injuries experienced high-energy trauma, often resulting in multiple injuries and operative interventions. Nevertheless, mortality rates were low, and most patients experienced either mild or no functional difficulties. The magnitude of the pelvic deformity pre-operatively correlates with post-operative clinical scores.http://www.sciencedirect.com/science/article/pii/S2666262025000221Pelvic fractureSacroiliac screwPercutaneous fixationTraumaClinical outcomes |
| spellingShingle | Grace EM Kennedy Ramy Rashed Joshua Lau Maham Khan Mohammad Abdelmonem Sathya Lakpriya Bryony Ford Ahmed El-Bakoury Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study Surgery in Practice and Science Pelvic fracture Sacroiliac screw Percutaneous fixation Trauma Clinical outcomes |
| title | Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study |
| title_full | Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study |
| title_fullStr | Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study |
| title_full_unstemmed | Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study |
| title_short | Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study |
| title_sort | functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries a retrospective study |
| topic | Pelvic fracture Sacroiliac screw Percutaneous fixation Trauma Clinical outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2666262025000221 |
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