الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Pelvic ring disruptions are severe injuries which are associated with high incidence of patients’ morbidity. The surgical treatment is considered as the gold standard method for management of completely unstable pelvic ring injuries.
The aim of this study was to assess the clinical and radiological results of iliosacral screw fixation in the treatment of unstable pelvic ring injuries.
This study included 30 patients with completely unstable pelvic ring injuries. The preoperative assessment included clinical examination of the injured pelvis and other associated injuries including soft tissue and neurovascular injuries. Preoperative radiological evaluation was done for all patients and that had included Anteroposterior plain radiographs and computed tomography. The preoperative displacement of the posterior pelvic ring was measured on the plain radiographs for all patients and the posterior sacral cortex injury was classified into three types using computed tomography. Postoperatively, the clinical outcome was assessed by the Majeed score and the short form questionnaire SF36. The radiological outcome was evaluated by measuring the postoperative displacement of the posterior pelvic ring with referring to Tornetta and Matta score.
The median duration of postoperative follow up of patients was 245.266 days. The mean postoperative Majeed score for the patients in the undisplaced fracture of posterior sacral cortex group was 95.50 ± 9.33, that for the patients in the displaced fracture of posterior sacral cortex group was 91.25 ± 12.51 and those in comminuted fracture of posterior sacral cortex group have the mean score of 79.17 ± 5.23. The difference between the postoperative means in all groups was statistically significant (P<0.001*).
There was a statistically significant improvement in the postoperative radiological assessment in all groups.
In conclusion, pelvic ring injuries are considered as complex trauma which requires management in specialised centers that have the surgical expertise to treat such severe injuries.