SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES

Objectives. The instability of the posterior pelvic ring occurs in severe fractures of the pelvis type B and C, of the Tile classification, and, in the last years, is constantly increasing and requires new methods of osteosynthesis. The aim of the study was to present and introduce, in clinical pra...

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Main Authors: Grigore Sîrghi, Vladimir Kusturov, Nicolae Caproș, Victor Ungurean
Format: Article
Language:English
Published: Association of Surgeons of the Republic of Moldova 2020-10-01
Series:Arta Medica
Subjects:
Online Access:https://artamedica.md/index.php/artamedica/article/view/79
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spelling doaj-f0330fae29884c0296ffb26f5a635a3c2020-11-25T04:07:23ZengAssociation of Surgeons of the Republic of MoldovaArta Medica1810-18521810-18792020-10-0176310.5281/zenodo.407005580SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURESGrigore Sîrghi0Vladimir Kusturov1Nicolae Caproș2Victor Ungurean3State University of Medicine and Pharmacy “Nicolae Testemiţanu”, Chișinău, Republic of MoldovaState University of Medicine and Pharmacy “Nicolae Testemiţanu”, Chișinău, Republic of MoldovaState University of Medicine and Pharmacy “Nicolae Testemiţanu”, Chișinău, Republic of MoldovaState University of Medicine and Pharmacy “Nicolae Testemiţanu”, Chișinău, Republic of Moldova Objectives. The instability of the posterior pelvic ring occurs in severe fractures of the pelvis type B and C, of the Tile classification, and, in the last years, is constantly increasing and requires new methods of osteosynthesis. The aim of the study was to present and introduce, in clinical practice, the spino-pelvic stabilization in patients with posterior pelvic ring lesion and evaluation of the surgical treatment results. Material and methods. The study included 5 patients, with a mean age of 43.8 years, treated during 2017–2018 years, within the Institute of Emergency Medicine, Chișinău, Republic of Moldova and were followed on medical check-ups. Results and discussions. After performing the internal osteosynthesis of the posterior pelvis, by spinopelvic fixation, a satisfactory bone block was formed, in all patients, which was evaluated radiologically in time. There were no complications during the patient's follow-up period. Four patients returned to work. A polytraumatized patient is in rehabilitation and recovery, but who can take care of herself and move independently. Conclusion. The spino-pelvic fixation method allowed a firm fixation of the posterior hemipelvis, highlighting a low morbidity rate, compared to the methods of external osteosynthesis of the pelvic fractures. This allowed to perform, if necessary, the intraoperative decompression of posttraumatically damaged nerve structures and allowed the formation of a satisfactory bone block. https://artamedica.md/index.php/artamedica/article/view/79pelvisspino-pelvic fixationbone block
collection DOAJ
language English
format Article
sources DOAJ
author Grigore Sîrghi
Vladimir Kusturov
Nicolae Caproș
Victor Ungurean
spellingShingle Grigore Sîrghi
Vladimir Kusturov
Nicolae Caproș
Victor Ungurean
SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
Arta Medica
pelvis
spino-pelvic fixation
bone block
author_facet Grigore Sîrghi
Vladimir Kusturov
Nicolae Caproș
Victor Ungurean
author_sort Grigore Sîrghi
title SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
title_short SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
title_full SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
title_fullStr SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
title_full_unstemmed SPINO-PELVIC STABILIZATION – METHOD OF OSTEOSYNTHESIS IN PELVIC FRACTURES
title_sort spino-pelvic stabilization – method of osteosynthesis in pelvic fractures
publisher Association of Surgeons of the Republic of Moldova
series Arta Medica
issn 1810-1852
1810-1879
publishDate 2020-10-01
description Objectives. The instability of the posterior pelvic ring occurs in severe fractures of the pelvis type B and C, of the Tile classification, and, in the last years, is constantly increasing and requires new methods of osteosynthesis. The aim of the study was to present and introduce, in clinical practice, the spino-pelvic stabilization in patients with posterior pelvic ring lesion and evaluation of the surgical treatment results. Material and methods. The study included 5 patients, with a mean age of 43.8 years, treated during 2017–2018 years, within the Institute of Emergency Medicine, Chișinău, Republic of Moldova and were followed on medical check-ups. Results and discussions. After performing the internal osteosynthesis of the posterior pelvis, by spinopelvic fixation, a satisfactory bone block was formed, in all patients, which was evaluated radiologically in time. There were no complications during the patient's follow-up period. Four patients returned to work. A polytraumatized patient is in rehabilitation and recovery, but who can take care of herself and move independently. Conclusion. The spino-pelvic fixation method allowed a firm fixation of the posterior hemipelvis, highlighting a low morbidity rate, compared to the methods of external osteosynthesis of the pelvic fractures. This allowed to perform, if necessary, the intraoperative decompression of posttraumatically damaged nerve structures and allowed the formation of a satisfactory bone block.
topic pelvis
spino-pelvic fixation
bone block
url https://artamedica.md/index.php/artamedica/article/view/79
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AT vladimirkusturov spinopelvicstabilizationmethodofosteosynthesisinpelvicfractures
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