Clinical Trials Logo

Clinical Trial Summary

1. To compare Single Trans-sacral screw fixation vs. two Ilio-Sacral screws fixation as regard time for starting weight bearing.

2. To compare between functional outcome using the Majeed Pelvic Score.


Clinical Trial Description

Sacroiliac screws (SISs) have been used since Vidal et al introduced them in 1973. Since that, SIS fixation has become a common technology in fixing pelvic posterior ring injuries with important progress in the past 20 years. Currently, SIS fixation represents the only minimally invasive technique to stabilize the posterior pelvic ring. For that reason, it is steadily gaining popularity, becoming one of the most commonly used techniques. The sacrum, serving as the foundation of the spine, transmits the stress between spine and pelvis through sacroiliac joints. Thus, the goal of surgical fixation is the reconstruction of the spino-pelvic-junction to allow early weight-bearing and to facilitate nursing care, particularly for multiple injured patients.

As a result of the deforming forces acting perpendicular to the implant axis, routine ilio-sacral screws fixation may not provide adequate stabilization, especially in certain unstable injuries. Longer trans-sacral screws that traverse the entire upper sacrum and exit the contralateral iliac cortex may improve holding power and also stabilize concomitant contralateral posterior pelvic injuries. These trans-sacral screws are reliably safe to insert using routine intraoperative fluoroscopy, and they provide durable fixation. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03944174
Study type Observational
Source Assiut University
Contact
Status Not yet recruiting
Phase
Start date June 2019
Completion date June 2020

See also
  Status Clinical Trial Phase
Recruiting NCT05606042 - Curvafix® Intramedullary System for Fixation of Pelvic and Acetabular Fractures, A Post Market Evaluation
Not yet recruiting NCT06054165 - Impact of a Clinical Pathway for Pelvic Fragility Fractures N/A
Recruiting NCT04744350 - Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis N/A
Enrolling by invitation NCT03977168 - A Prospective Study of Early Mechanical Stabilization and Bleeding in Disruption of the Pelvic Ring
Completed NCT03475771 - Retrospective Evaluation of Thrombo-embolic Complication in Pelvic Fracture Surgery
Active, not recruiting NCT05354531 - Outcome of the Anterior Subcutaneous Internal Fixator (INFIX) for Pelvic Ring Disruptions N/A
Completed NCT06388915 - A Retrospective Cohort Study of 15 Cases of Pelvic Fractures Complicated by Morel-Lavallee Lesion
Active, not recruiting NCT05836727 - Use of Laparoscopy in the Treatment of Pelvic Ring Ruptures
Recruiting NCT04182776 - Fragility Fractures of the Pelvis (FFP)
Not yet recruiting NCT05448911 - The Role of Intraoperative Navigation-assisted Channel Screw Technique in the Treatment of Pelvic Fractures N/A
Completed NCT02855060 - Pre-hospital Advanced Therapies for Control of Hemorrhage - Pelvis N/A
Recruiting NCT05367505 - Titanium Fusion Implant in Combination With Trans-iliac Screws for Insufficiency Fractures of the Pelvis N/A
Completed NCT04217499 - Pelvic Ring Fractures: New Analysis Method and Treatment Decision Algorithm
Terminated NCT00594906 - Use of Teriparatide to Accelerate Fracture Healing N/A
Completed NCT04303442 - Corona Mortis in Patients Undergoing TEP for Inguinal Hernia
Enrolling by invitation NCT05712850 - Clinical Outcome and Fusion Results Using the SiJoin® Transfixing Sacroiliac Fusion Device
Recruiting NCT04937868 - Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients
Withdrawn NCT04764864 - Pelvic Fractures in Polytraumatized Patients With Hemodynamic Instability: Angioembolization vs Preperitoneal Packing N/A
Recruiting NCT04615104 - Pelvic and Acetabular Fracture: A Prospective Observational Study
Completed NCT03195179 - Primary Urethral Realignment Versus Suprapubic Cystostomy After Pelvic Fracture Urethral Injury