导航下空心螺钉内固定治疗骶髂复合体损伤的疗效观察

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Abstract Objective To investigate the clinical effect，safety and technique notes for the navigation-assisted percutaneous cannulate screw fixation in treating patient with the sacroiliac complex injury.Methods Thirty-five cases of patients with the sacroiliac complex injury who had been collected from January 2016 to December 2018 were treated using percutaneous cannulate screw fixation with three-dimensional navigation-assisted system in the central hospital of PLA.There were 24 males and 11 females，aged 19 to 67 years，with an average age of (35.2±3.5) years.Intraoperative indexes as duration，blooding volume，nerve or blood vessel lesion and postoperative complications were respectively documented.Condition was postoperatively evaluated by Matta radiological criteria.Pelvic function was assessed by Majeed scoring criteria at the last follow-up.Results Thirty-five cases with 39 screws in all were placed without neurovascular complications.Each screw averagely took (41.5±4.3)mins with bleeding of(15.5±10.3)mL.Two patients with Morel-Lavallée injury underwent open debridement and VSD (vacuum sealing drainage).Intraoperatively，one patient broke through the cortical bone into the pelvic cavity，but no obvious neurovascular complications.One screw moved backward for 1 cm at the 1st month of follow-up，and this abnormal process was controlled by the reasonable intervention.Matta radiological evaluation presented the excellent rate with 88.57%.All patients were followed up from 9 to 18 moths，average (12.5±2.3)months.The Majeed standard of pelvic function evaluation in the last follow up showed the excellent rate with 91.43%.Conclusion It can conclude that three-dimensional navigation-assisted percutaneous cannulate screw fixation in treating patient with the sacroiliac complex injury is an accurate，minimally invasive，safe and effective，which is worthy of clinical application.

Key words： three-dimensional navigation system cannulate screw sacroiliac complex minimally invasive surgery

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	Articles by authors
	Ye Jin 1
	Tang Jin 1
	Meng Chengfei 2
	et al

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Ye Jin 1,Tang Jin 1,Meng Chengfei 2, et al. Navigation-Assisted Percutaneous Iliosacral Cannulate Screw in Treating Sacroiliac Complex Injury[J]. sygkzz, 2020, 26(3): 210-213.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I3/210

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