ArticleFrontiers in surgery2025
Comparative study of modified vs. traditional sacroiliac screw techniques in day type II crescent fracture dislocation of the pelvis.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The use of traditional sacroiliac screws in the treatment of Day type II crescent fracture-dislocation of the pelvis (CFDP) is often associated with insufficient screw anchorage and compression due to the short iliac segment of the screw and the proximity of the entry point to the fracture line. This study aims to evaluate a modified sacroiliac screw technique designed to address these limitations. Methods: In this retrospective comparative study, we analyzed 44 patients with Day type II CFDP who underwent surgical treatment between January 2019 and June 2023. Based on the sacroiliac screw technique applied, patients were divided into a modified group ( Results: All patients successfully underwent surgery. The modified group exhibited a significantly longer iliac segment of the sacroiliac screw compared to the control group (3.71 ± 0.85 cm vs. 2.12 ± 0.47 cm, Conclusion: The modified sacroiliac screw technique significantly extends the iliac segment length, enhances cortical bone engagement, reduces the risk of entry point proximity to the fracture line, and improves screw stability and reduction quality. However, these findings require validation through larger prospective and biomechanical studies to further assess long-term efficacy and applicability.
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