Little-invasive fixation of posterior pelvic injuries

Purpose. To increase the effectiveness of treatment in patients with vertically instable pelvic injuries using the technique of little-invasive fixation of posterior parts. Materials and Methods. The technique of little-invasive fixation of posterior pelvis used in treatment of 55 patients with acute vertically instable pelvic injuries. Iliosacral screw insertion to stabilize the posterior pelvis performed after definitive reposition, the technique of iliosacral blocking had its own characteristics depending on injury type. Results. Good results achieved in 50 cases. Conclusion. The use of the technology proposed for treatment of vertically instable pelvic injuries allows obtaining positive results in 91% of cases due to the possibility of performing reliable bloodless fixation of posterior pelvic ring complex provided adequate reposition regardless of its performance technique. A differentiated approach used to choose fixation technique depending on injury type. The proposed original way of sacral fracture fixation not involving sacroiliac joint is more physiologic, and it allows to reduce the risk of deforming osteoarthrosis and pain syndrome.