【摘要】 目的探讨腰髂固定联合外固定支架对经骶骨骨折骨盆前后环损伤的手术治疗方法和疗效。方法采用后路切开复位腰髂固定联合前路外固定支架治疗经骶骨骨折骨盆前后环损伤病人11例,骨盆骨折tile分型均为Tile-C型,C1型8例,C2型2例,C3型1例。经骶骨骨折Denis分型Ⅱ型。结果随访时间11~64月,平均36.4月。均获骨性愈合,Majeed评分平均84分。优6例,良4例,优良率90.9%。术后切口感染1例,外固定架钉道感染1例,清创拆除支架换药后愈合。结论腰髂固定联合外固定支架可有效稳定骨盆环,手术创伤小,效果可靠。是治疗经骶骨骨折骨盆前后环损伤的可靠方法。更多还原

【Abstract】 Objective To explore the efficacy of the lumbar iliac fixation combined with external fixation for the treatment of the Denis-II sacral fractures involved with anterior rings. Methods Eleven cases consecutively enrolled, with Tile-c type pelvic fracture(Tile-c18 cases, Tile-c22 cases and Tile-c31 case) concurrently accompanied with Denis-Ⅱtype sacral fracture. The posterior lumbopelvic fixation together with anterior external fixation were adopted to stabilize the fractures. Results All the patients had been followed up with the average period of 34 months(from 11 months to 64 months).The bone healing was observed in 4-11 months. The excellent rate was achieved 90.9% according to the Majeed score. One case of incision infection and one case of pinholes infection were occurred, and were with debridement and removing of the external fixation. Conclusion Stable pelvic ring could be achieved by posterior lumbopelvic fixation in combination with the anterior external fixation. This procedure is relatively simple yet a safe and effective technique in the treatment of the anterior pelvic ring fracture with sacral fracture.更多还原