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Title of Journal: Eur Spine J

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Abbravation: European Spine Journal

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Springer-Verlag

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10.1016/0167-8809(92)90064-i

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1432-0932

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Application triangular osteosynthesis for vertical

Authors: Xudong Hu Fuxing Pei Guanglin Wang Jingguo He Qingquan Kong Chongqi Tu
Publish Date: 2012/11/07
Volume: 22, Issue: 3, Pages: 503-509
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Abstract

From January 2009 to December 2010 25 vertical unstable sacral fractures in 22 patients were treated with triangular osteosynthesis using the combination of universal spine system and iliosacral screw in our institution Patients were followed up prospectively with routine postoperation visits for clinical and radiographic examination The reduction quality was evaluated according to Matta criterion Clinical function outcome and nerve function outcome was evaluated by Majeed and Gibbons criterionAll patients were followed up for an average of 14 months range 8–26 months Local infection was seen in two patients and both were healed with debridement and antibiotics Patients experienced early weightbearing ability no fracture reduction loss and hardware loosening while all fractures appeared as bone union at the final followup According to Matta criterion for fracture reduction the results were excellent in 18 sides good in 6 sides and fair in 1 side According to Majeed functional scoring at last followup the results were excellent in 13 cases good in 6 cases fair in 2 cases and poor in 1 case Neurologic impairment was noted in 13 patients preoperative six patients achieved complete recovery six patients achieved partial improvement one patient did not have any improvement at the last followup

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