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Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis

BACKGROUND: Surgical indications for fragility fracture of the pelvis (FFP) have been reconsidered recently, and the indications to perform surgery have increased. However, the optimal surgical method to obtain sufficiently strong fixation in elderly patients with minimal invasiveness is not yet cle...

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Autores principales: Sawada, Ryohei, Ishikawa, Tetsuhiro, Ota, Mitsutoshi, Katsuragi, Joe, Sasaki, Yasuhito, Suzuki, Masahiro, Umimura, Tomotaka, Nagashima, Yuki, Hashiba, Daisuke, Yoshimoto, Takuma, Yamoto, Naoki, Ohtori, Seiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609804/
https://www.ncbi.nlm.nih.gov/pubmed/36324944
http://dx.doi.org/10.25259/SNI_301_2022
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author Sawada, Ryohei
Ishikawa, Tetsuhiro
Ota, Mitsutoshi
Katsuragi, Joe
Sasaki, Yasuhito
Suzuki, Masahiro
Umimura, Tomotaka
Nagashima, Yuki
Hashiba, Daisuke
Yoshimoto, Takuma
Yamoto, Naoki
Ohtori, Seiji
author_facet Sawada, Ryohei
Ishikawa, Tetsuhiro
Ota, Mitsutoshi
Katsuragi, Joe
Sasaki, Yasuhito
Suzuki, Masahiro
Umimura, Tomotaka
Nagashima, Yuki
Hashiba, Daisuke
Yoshimoto, Takuma
Yamoto, Naoki
Ohtori, Seiji
author_sort Sawada, Ryohei
collection PubMed
description BACKGROUND: Surgical indications for fragility fracture of the pelvis (FFP) have been reconsidered recently, and the indications to perform surgery have increased. However, the optimal surgical method to obtain sufficiently strong fixation in elderly patients with minimal invasiveness is not yet clear. In this report, we present the case of a patient with FFP who was treated with a novel posterior within ring fixation technique using a combination of iliac screws and an implant that locks the original iliosacral (IS) screw in the sacrum. CASE DESCRIPTION: A 90-year-old man was diagnosed with FFP (Rommens classification: Type IIc) and hospitalized for conservative treatment. However, 6 weeks after the injury, pain reappeared in his right buttock and computed tomography showed additional fractures of the right subpubic branch and right sacrum (Rommens classification: Type IVb). The fracture was considered to have progressed from being stable to unstable, and surgical treatment was planned. To obtain strong fixation with minimal invasion, we performed posterior fixation using E.Spine Tanit (Euros, France) compact posterior thoracolumbar instrumentation, an implant that combines an IS screw with a sacral anchoring system. The patient started walking unaided 2 weeks after the surgery, suggesting a good outcome of this surgical approach to FFP. CONCLUSION: We performed posterior fixation surgery for a patient with an unstable FFP that recurred and progressed after conservative treatment. We have achieved good results using a minimally invasive, strong, and within ring fixation technique.
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spelling pubmed-96098042022-11-01 Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis Sawada, Ryohei Ishikawa, Tetsuhiro Ota, Mitsutoshi Katsuragi, Joe Sasaki, Yasuhito Suzuki, Masahiro Umimura, Tomotaka Nagashima, Yuki Hashiba, Daisuke Yoshimoto, Takuma Yamoto, Naoki Ohtori, Seiji Surg Neurol Int Case Report BACKGROUND: Surgical indications for fragility fracture of the pelvis (FFP) have been reconsidered recently, and the indications to perform surgery have increased. However, the optimal surgical method to obtain sufficiently strong fixation in elderly patients with minimal invasiveness is not yet clear. In this report, we present the case of a patient with FFP who was treated with a novel posterior within ring fixation technique using a combination of iliac screws and an implant that locks the original iliosacral (IS) screw in the sacrum. CASE DESCRIPTION: A 90-year-old man was diagnosed with FFP (Rommens classification: Type IIc) and hospitalized for conservative treatment. However, 6 weeks after the injury, pain reappeared in his right buttock and computed tomography showed additional fractures of the right subpubic branch and right sacrum (Rommens classification: Type IVb). The fracture was considered to have progressed from being stable to unstable, and surgical treatment was planned. To obtain strong fixation with minimal invasion, we performed posterior fixation using E.Spine Tanit (Euros, France) compact posterior thoracolumbar instrumentation, an implant that combines an IS screw with a sacral anchoring system. The patient started walking unaided 2 weeks after the surgery, suggesting a good outcome of this surgical approach to FFP. CONCLUSION: We performed posterior fixation surgery for a patient with an unstable FFP that recurred and progressed after conservative treatment. We have achieved good results using a minimally invasive, strong, and within ring fixation technique. Scientific Scholar 2022-09-16 /pmc/articles/PMC9609804/ /pubmed/36324944 http://dx.doi.org/10.25259/SNI_301_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sawada, Ryohei
Ishikawa, Tetsuhiro
Ota, Mitsutoshi
Katsuragi, Joe
Sasaki, Yasuhito
Suzuki, Masahiro
Umimura, Tomotaka
Nagashima, Yuki
Hashiba, Daisuke
Yoshimoto, Takuma
Yamoto, Naoki
Ohtori, Seiji
Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
title Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
title_full Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
title_fullStr Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
title_full_unstemmed Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
title_short Novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
title_sort novel within ring fixation using iliac screws and an iliosacral screw locking system technique for fragility fracture of the pelvis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609804/
https://www.ncbi.nlm.nih.gov/pubmed/36324944
http://dx.doi.org/10.25259/SNI_301_2022
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