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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 40-44

Research Article

Sacral Fractures: Various Modalities of Treatment and outcomes

 

Nilesh Keche1, Sanjay Khairnar2, Abhang Khairnar3, Kedar Jagtap4, Kiran Patil5, Harshal Kalambe6

1Assistant Professor, 2Head of Department, 3,4Senior Registrar, 5,6Residents

Department of Orthopaedics, Dr. V. M. G. M. C., Solapur, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.

Abstract

 

Introduction: Sacral fractures occur in approximately 45% of all pelvic fractures. From conservative to surgical, various treatment modalities are available to treat sacral fracture. The post treatment outcome also depends on various factors. Aims and Objectives: To study the modalities of treatment employed in the management of sacral and sacro-iliac joint injuries (Conservative and Operative) and to compare the results and outcomes of conservative vs. operative interventions employed in the management of sacral factures and sacro-iliac joint injuries. Materials and methods: total 32 patients were selected during the study period and were followed for 6 months post treatment to study the outcome. Majeed Scoring system was used to study post treatment functional assessment. Results: post injury displacement was seen in Denis type 3 fracture and vertical shaer fractures. And the displacement ids much reduced after treatment (both surgical and conservative). Mean ambulatory time in patients managed surgically and conservatively was nearly equal. In surgical procedure plating was required in most of the patients as compared to iliosacral screw and external fixator. It was also observed that patient managed surgically scored better Majeed score as compared to conservatively managed patients. But the difference was not significant. Conclusion: sacral fracture can be managed conservatively and surgically depending upon the post injury displacement. Outcome can be improved by selecting appropriate treatment modality.