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Assessing the efficacy of a modified surgical technique in the treatment of unstable sacral fracture

A modified triangular osteosynthesis protocol for the rod and pedicle screw of vertical unstable sacral fracture: an observational case series.

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN81077281
Enrollment
28
Registered
2019-01-24
Start date
2010-08-10
Completion date
Unknown
Last updated
2023-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sacral fracture Injury, Occupational Diseases, Poisoning Fracture of lumbar spine and pelvis

Interventions

Following initial treatment, when the patient’s condition was sufficiently improved to allow surgical intervention, the current surgery was performed. This is a single step procedure, which took an av
an image boost was used during the course of operation (conventional C-arm fluoroscopy). Two initial skin incisions were made for all cases. A longitudinal and curved approach to the
another one was made on a line along the contralateral iliac bone through PSIS. To allow a deeper seating of the screw head and prevent prominence of the metal work under the soft tissues, we made a b

Sponsors

Affiliated Dongfeng Hospital, Hubei University of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Vertical unstable sacral fractures 2. Neural injury with associated intraforaminal debris

Exclusion criteria

Exclusion criteria: 1. Soft tissue defects that prevent operation zone coverage (the lumbosacral spine zone) 2. L4, L5 and iliac bone fractures through the insertion points of rod and pedicle screw system 3. Pathological fracture caused by osteoporosis or tumor 4. Follow-up less than 10 months.

Design outcomes

Primary

MeasureTime frame
1.The following were measured post-operatively by reviewing patient and operation notes: 1.1. Time from admittance to surgery (delay days) 1.2. Duration of surgery 1.3. Blood loss volume and blood vessel 1.4. Nerve injury

Secondary

MeasureTime frame
1. The following were measured post-operatively by reviewing patient and operation notes: 1.1. Follow-up duration 1.2. Neurological deficit 1.3. Skin lesion 1.4. Deep infection when reviewing patient and operation notes. 2. The following were measured using X-ray and CT imaging: 2.1. Tenderness 2.2. Loss of reduction 2.3. Fracture heal

Countries

China

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026