Sacroiliac screw fixation at the Nouakchott Traumatology-Orthopedics and Burns Centre: report of 2 cases

orthopedic surgery

Lesions causing instability of the pelvic ring occur in the context of polytrauma, and in some cases are life-threatening. Orthopaedic treatment of these lesions is restrictive for the patient and for the attending physician; functional treatment or sometimes trans-osseous tractions which can last up to 45 days often give poor results in terms of statics; open surgical treatment is not free of vascular (venous plexuses), nervous (sacral roots) or septic risks, but it is reserved for neurological forms or forms with very significant displacement. Based on the observation of two cases, we are going to illustrate the method of closed focus fixation under radioscopic control by percutaneous sacroiliac screw fixation in unstable fractures of the pelvis type B and C of the TILE classification. This technique allows stability of the pelvic ring by fixing the coxal bone with the body of S1 or S2 and rapid resumption of statics and walking.

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