الفهرس 
Mode of traumaOnly 14 pages are availabe for public view
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Abstract
Background : Percutaneous fixation of pelvic injuries was first described by Routt in 1993 and minimal invasive ilioilial screws for sacral fractures was also first described by Saoud A.M.F and Reda M.A. 2011.
Material and methods : We searched databases: Medline/PubMed, Cochrane library from 1998 to 2018 for the studies that deal with posterior pelvic and sacral fractures using p.c iliosacral or ilioilial screws and after application of our inclusion and exclusion criteria we identified Nine studies . Data from these studies were extracted and Statistical analysed using MedCalc© version 18.9.1 (MedCalc© Software, Ostend, Belgium).
Results : Our selected studies included 327 patients who were treated by minimal invasive iliosacral and ilioilial screws for posterior pelvic ring injuries and/or sacral fractures. Our extracted data were about clinical and radiological outcome of this method of treatment and it’s complications including hardware failure, neurovascular injuries, non union, infection and need for re-operation . Our results were as follow: The rate to achieve satisfactory reduction(displacement less than 10 mm) is 92.6% , The rate to achieve excellent and good functional scores (according to Majeed score and Pohleman score) is 90%, Rate of hard ware failure and screws miss-displacement is 3.3 %, Rate of neurovascular complication is 2.8%, Rate of superficial infection is 3.5%, Rate of re-operation is 3.4%, Rate of non union is 0.0%.
Conclusion : from this study we concluded that percutaneous screw fixation for posterior pelvic and sacral fractures is a sound method of fixation and has low complication rate with good long term functional outcome.