ArticleJournal of clinical medicine2020
Safety, Effect and Feasibility of Percutaneous SI-Screw with and without Augmentation-A 15-Year Retrospective Analysis on over 640 Screws.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 36 citations in OpenAlex.
- Iliosacral Screw Fixation for Treating Sacral Fractures: A Modified Pedicle-Guided Fixation Technique in Prone Position.Orthopaedic surgery · 2026Article
- Minimally Invasive Lumbopelvic and Transiliac-Transsacral Fixation for a Pathological Sacral Fracture Due to Metastatic Breast Cancer: A Case Report.Journal of orthopaedic case reports · 2026Article
- Percutaneous screw fixation combined with cement augmentation for sacral insufficiency fractures: bicentric study.European radiology · 2026Article
- Percutaneous fixation of posterior pelvic ring lesions in the elderly: current evidence and recent advances.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Major improvement using peroperative 3D compared to 2D imaging for SI screw fixation in traumatic pelvic fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Recognizing Sacral Insufficiency Fractures Hidden in Plain Sight: An Illustrative Case Report.Cureus · 2026Article
- Finite element analysis of sacral fixation strategies for fragility fractures of the pelvis.Scientific reports · 2026Article
- Acceptable outcomes after anterior subcutaneous pelvic Internal Fixation (INFIX) for Fragility Fractures of the Pelvis (FFP) type III in elderly patients: a retrospective study.BMC geriatrics · 2026Article
- Early experience with percutaneous photodynamic nails for sacral metastatic disease and insufficiency fractures: a retrospective cohort analysis of functionality and pain relief.BMC musculoskeletal disorders · 2025Article
- Bilateral Iliosacral and Transsacral Screws Are Biomechanically Favorable and Reduce the Risk for Fracture Progression in Fragility Fractures of the Pelvis-A Finite Element Analysis.Bioengineering (Basel, Switzerland) · 2025Article
- Augmented ilio-sacral screws for the treatment of fragility pelvic fractures: review of literature, presentation of a novel low-cost technique, and clinical results of a case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Review
- Biomechanical evaluation of an experimental internal ring fixator (RingFix) for stabilization of pelvic ring injuries on an osteoporotic bone model.Scientific reports · 2024Article
- Long-Term Follow-Up after Iliosacral Screw Fixation of Unstable Pelvic Ring Fractures.Journal of clinical medicine · 2024Article
- Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis.Journal of clinical medicine · 2023Article
- A Systematic Review of Sacral Insufficiency Fractures: Treatment Modalities and Outcomes.Cureus · 2023Review
- Rates and risk factors of complications associated with operative treatment of pelvic fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Bony Sacral Volume after Sacro-Iliac Screw Fixation of Pelvic Fractures Is Dependent on Reduction of the Anterior Pelvic Ring.Journal of clinical medicine · 2023Article
- FFP: Indication for minimally invasive navigation technique.Trauma case reports · 2023Article
- The ideal site of cement application in cement augmented sacroiliac screw fixation: the biomechanical perspective.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Complications after surgical treatment of pelvic fractures: a five-year follow-up of 194 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive sacroiliac-screw (SI-screw) fixation of the pelvis is used in energy trauma (Arbeitsgemeinschaft für Osteosynthesefragen (AO) classified) and fragility fractures (Fragility Fracture of the Pelvis (FFP) classified). However, available clinical data are based on small case series and biomechanical data seem to be contradictory.
methodsThe present single center retrospective cohort study investigated percutaneous SI-screw fixation and augmentation over 15 years. Groups were compared concerning the general epidemiological data, mobilization, complication rates, duration of stay, and safety of SI-screw insertion. Multivariable analyses were performed using logistic regression.
resultsBetween 2005 and March 2020, 448 patients with 642 inserted SI-screws were identified. Iatrogenic neurological impairment was documented in 2.47% and correlated with screw misplacement. There was an increased complication risk in patients with AO type C over patients with AO type B and in FFP II over FFP III/IV patients. Cement-augmented FFP patients showed a 25% reduced stay in hospital and a reduced complication risk. Cement-associated complications were seen in 22% without correlation to neurologic impairment.
conclusionsThe present study confirms the safety and usability of percutaneous SI-screw fixation, despite specific risks. Cement augmentation seems to reduce the complication risk in FFP patients and shorten hospital stay for some reasons, without increased specific complications or correlated neurological impairment.
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