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Stabilisation of the anterior pelvic ring segment by ©MATRIX Spine System


Authors: Radim Vinter 1;  Jan Kovařík 1;  Tomáš Wanek 2
Authors place of work: Department of Traumatology, Faculty hospital Olomouc 1;  Oddělení traumatologie FN Olomouc 1;  Clinic of Neurosurgery, Faculty hospital Olomouc 2;  Neurochirurgická klinika FN Olomouc 2
Published in the journal: Úraz chir. 22., 2014, č.4

Summary

Introduction:
Restoring stability of the injured pelvic ring is a precondition for ensuring a good functional outcome. There are a number of stabilizing techniques including some percutaneous and minimally invasive techniques. The aim of this case-report was to present an alternative option of minimally invasive fixation of the anterior segment of the pelvis using ©MATRIX Spine System for spondylosurgical stabilization.

Materials and Methods:
This case report describes an alternative procedure of minimally invasive stabilization of the anterior pelvic segment with polyaxial screws fixed in the supra-acetabular region with a firm but fle-xible connecting rod in an obese patient with polytrauma, after embolization of the internal illiac artery with a massive hematoma in the lower abdomen.

Results:
Uncomplicated healing process. After 12 months thepatient is without difficulties and there is no hardware-related irritation. He does not request hardware removal.

Conclusion:
Minimally invasive pelvic stabilization of the anterior segment using the ©MATRIX Spine System expands the repertoire of fixation options for pelvic ring injuries.

Key word:
MISS, pelvic fracture, symphysiolysis, minimally invasive, internal fixation.


Zdroje

1. COLE, P A., GAUGER, EM., ANAVIAN, J.,et al Anterior pelvic external fixat or versus subcutaneous internal fixator in the treatment of anterior ring pelvic fractures. J Orthop Trauma. 2012, 5, 269–277.

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3. FRANK, M., DEDEK, T., TRLICA, J. et al. Perkutánní osteosyntéza předního pilíře acetabula - první zkušenosti. Acta Chir Orthop Traum Čech. 2010, 2, 99–104. ISSN 0001-5415

4. GARDNER, MJ., MEHTA, S., MIRZA, A., et al. Anterior pelvic reduction and fixation using a subcutaneous internal fixator. J Orthop Trauma. 2012, 5, 314–321. ISSN 1531-2291

5. HIESTERMAN, T. G., HILL, B. W., COLE, P. A. Surgical technique: a percutaneous method of subcutaneous fixation for the anterior pelvic ring: the pelvic bridge. Clin Orthop. 2012, 8, 2116–2123. ISSN 1528-1132

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8. LINDAHL, J., HIRVENSALO, E., BÖSTMAN, O. et al. Failure of reduction with an external fixator in the management of injuries of the pelvic ring. Long- term evaluation of 110 patients. J Bone Joint Surg Br. 1999, 6, 955–962. ISSN 0301-620X.

9. MASON, WT., KHAN, SN., JAMES, CL et al Complications of temporary and definitive external fixation of pelvic ring injuries. Injury. 2005, 36, 599–604. ISSN 0020-1383.

10. SAGI, H., PAPP, C., PAPP, S. Comparative Radiographic and Clinical Outcome of Two-Hole and Multi-Hole Symphyseal Plating. J Orthop Trauma. 2008, 6, 373–378. ISSN 0890-5339.

11. TALLER, S., LUKÁŠ, R., ŠRÁM, J. Samostatné kanylované šrouby při stabilizaci zlomenin pánevního kruhu a acetabula. Acta Chir Orthop Traum Čech. 2011, 6, 568–577. ISSN 0001-5415

12. VAIDYA, R., COLEN, R., VIGDORCHIK, J. et al. Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series. J Orthop Trauma. 2012, 1, 1–8. ISSN 1531-2291.

Štítky
Surgery Traumatology Trauma surgery
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