الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Sacral fractures and 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 unstable sacral fractures.
The aim of this study was to assess the clinical and radiological results of posterior ilio-iliac fixation in the treatment of sacral fractures.
This study included 20 patients with sacral fractures. 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. Postoperatively, the clinical outcome was assessed by the Majeed score. The radiological outcome was evaluated by measuring the postoperative displacement of the posterior pelvic ring with referring to Tornetta and Matta system.
The median duration of postoperative follow up of patients was 245.266 days. The mean postoperative Majeed score was 82.14 ± 13.74.
There was a statistically significant improvement in the postoperative radiological assessment in all patients.
In conclusion, sacral fractures are considered as complex trauma which requires management in specialised centers that have the surgical expertise to treat such severe