Biomedical journal
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Comparative Study
Outcome analysis of unstable posterior ring injury of the pelvis: comparison between percutaneous iliosacral screw fixation and conservative treatment.
Unstable posterior ring injuries of the pelvis are a challenge to pelvic surgeons, and their treatment has been controversial. The functional outcomes of such injuries following either percutaneous iliosacral screw fixation or conservative treatment remain to be elucidated. ⋯ Percutaneous iliosacral screw fixation for unstable posterior pelvic ring injuries results in less residual displacement at medium term follow up, and better pain relief at short and medium term follow up, than does conservative treatment. Better functional outcomes were observed at 1 year follow up as compared with conservative treatment.