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This research aimed to assess the role of the transpedicular Fixation system in the management of unstable sacral fractures in adults.
Pelvic ring disruptions are high-energy injuries with a significant impact on quality of life and higher levels of mortality. Unstable sacral fracture is an unusual injury, and even though many studies implicate the surgical intervention as the treatment of choice, the purposes of surgery on sacral fractures include pelvic ring reconstruction, lumbopelvic stability restoration, fracture healing, early mobilization, fracture displacement prevention and improving the neurological deficiency. More and more surgeons are advocating for surgical management in the treatment of sacral fractures, and open reduction internal fixation (ORIF) has demonstrated marked benefits over conservative treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transpedicular fixation group | Patients underwent transpedicular sacral fixation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transpedicular fixation | Procedure | Patients underwent transpedicular sacral fixation. |
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| Measure | Description | Time Frame |
|---|---|---|
| Functional outcome | Function results were assessed in terms of pain, standing and sitting, sexual function, and the need of assistance when walking, walking distance, and gait according to scoring system proposed by Majeed score. Five factors were assessed and scored: pain (30 points), standing (36 points), sitting (10 points), sexual intercourse (4 points) and work performance (20 points). The total score then gave a clinical grade as excellent (>85 points), good (70-84 points), fair (55-69 points) or poor (<55 points). | 1 year postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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This prospective case series study was conducted on 21 patients with unstable sacral fractures at Tanta and Assiut University Hospitals from May 2022 to August 2024.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | El-Gharbia | 31527 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41233652 | Derived | Elmoghany ME, Gharbo NO, Ayoub MA, Farouk OA, Mashal HEY. Fixation of unstable sacral fractures by transpedicular system: a prospective study. Int Orthop. 2026 Jan;50(1):219-228. doi: 10.1007/s00264-025-06673-3. Epub 2025 Nov 14. |
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The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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