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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 12, 1650-1653.
doi: 10.1302/0301-620X.89B12.19058  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Percutaneous screw fixation for sacral insufficiency fractures

A REVIEW OF THREE CASES

E. Tsiridis, MD, MSc, PhD, FRCS, Consultant Orthopaedic and Trauma Surgeon, Senior Lecturer1; N. Upadhyay, BSc, MB, ChB, Foundation Year 21; Z. Gamie, BSc, Medical Student1; and P. V. Giannoudis, BSc, MB, MD, EEC(Orth), Professor of Trauma and Orthopaedics1

1 Academic Department of Trauma & Orthopaedics Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, School of Medicine, Leeds University, Great George Street, Leeds LS1 3EX, UK.

Correspondence should be sent to Professor P. V. Giannoudis; e-mail: pgiannoudi{at}aol.com

Sacral insufficiency fractures are traditionally treated with bed rest and analgesia. The importance of early rehabilitation is generally appreciated; but pain frequently delays this, resulting in prolonged hospital stay and the risk of complications related to immobility. We describe three women with sacral insufficiency fractures who were treated with percutaneous sacroiliac screws and followed up for a mean of 18 months (12 to 24). They had immediate pain relief, uncomplicated rehabilitation and uneventful healing.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General