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- W4210583408 abstract "Abstract The number of fragility fractures of the pelvis (FFP) is increasing quickly due to the ageing of society, and the treatment remain controversial. Long-term immobilization during conservative treatment can lead to secondary systemic complications, conventional open reduction and internal fixation is highly invasive. We have developed a novel minimally invasive surgical technique for FFP. We made a 3-cm incision along medial borders of the posterior superior iliac spine, inserted one iliac screw on each side, and created a tunnel below the fascia connecting the two incisions. The interconnecting rod was slid across the tunnel on the dorsal surface of the sacrum and then fixed with iliac screws. We evaluated the outcomes of this new stabilization technique in 9 patients, the average age and follow-up period were 80.8 years and 10.0 months. According to the Rommens classification, there was 1 patient with IIIc fracture, 1 with IVa, 6 with IVb and 1 with IVc. The average surgical time was 60.7 minutes with an intraoperative blood loss of 2.0 ml, and bony union of the posterior part of the pelvic ring was achieved in all patients. This method is a useful and safe minimally invasive option for high-risk elderly patients." @default.
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- W4210583408 date "2021-01-14" @default.
- W4210583408 modified "2023-09-28" @default.
- W4210583408 title "A Novel Minimally Invasive Surgical Technique for Fragility Fractures of the Pelvis with Iliac Screws via Two Small Incisions" @default.
- W4210583408 doi "https://doi.org/10.21203/rs.3.rs-127762/v1" @default.
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