ArticleInternational orthopaedics2026
Fixation of unstable sacral fractures by transpedicular system: a prospective study.
Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06888583 (Fixation of Unstable Sacral Fractures by Transpedicular System), which is not on this map. Not yet cited in PubMed.
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Fixation of Unstable Sacral Fractures by Transpedicular System
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5 authors.
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Abstract
purposeThis study aimed to assess the functional and radiological outcome of transpedicular fixation system for managing unstable sacral fractures in adults.
methodsThis prospective case series study included 21 patients with unstable type C sacral fractures according to AO Spine classification of sacral fractures. The patients were treated by a transpedicular fixation system connecting the lower lumbar spine to the ilium, as a vertical element, which was bilateral in seven cases and unilateral in 14 cases. A transverse element connecting both sides of the posterior pelvic ring was added to augment fixation in the transverse plane. The minimum period of follow-up was 12 months.
resultsMean Majeed Score was 84,29 ± 9.97; excellent, good and fair classes were present in 14 (66.7%), five (23.8%) and two (9.5%) patients, respectively. There was a significant reduction of the vertical, anterior posterior and rotational displacement postoperatively in comparison to preoperative measures. There was a significant improvement in neurological deficit postoperatively. Eight (38.1%) patients developed complications postoperatively. Wound Infection was the most common complication.
conclusionThe use of transpedicular fixation as a vertical element combined with a transverse element connecting both sides of the posterior pelvic ring, to treat unstable sacral fractures, offers adequate fixation strength that helps to achieve union in a well reduced position, leads to satisfactory functional outcome and improves neurological deficit.
trial registration(ID/NCT06888583) retrospectively registered.
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