Fixation of Sacral Fractures by Posterior Plate

NCT03605797 | Completed

• 1 other identifier: TBP
• Study Type: observational
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The sacrum is the mechanical nucleus of the axial skeleton, serving as the base for the spinal column as well as the keystone for the pelvic ring. Sacral fractures occur in approximately 45% of all pelvic fractures. the mechanism of injury resulting in sacral fractures typically is one of high energy from motor vehicle accidents and fall from a height. Approximately 30% of sacral fractures are identified late. Unrecognized and inadequately treated sacral fractures may lead to painful deformity and progressive loss of neurological function. Delayed surgery for posttraumatic sacral deformity is complex, and the results are often less favorable than those of early surgery. Therefore, determination of an integrated diagnostic and therapeutic approach to sacral fractures should be a goal.

Conditions

Sacral Fracture

Outcome Measures

Primary Outcomes (1)

• Majeed functional outcome score

  it is a pelvic injury-specific assessment divided into seven items such as pain, work, sitting, sexual intercourse, standing, gait unaided, and walking distance, with a total score range of 0-100 in order of decreasing disability.

  6th month

Study Arms (1)

No intervention

To study the indication and results of fixing the sacral fracture by tension band plating

Other: follow up of cases fixed by posterior tension band plate

Interventions

follow up of cases fixed by posterior tension band plate OTHER

Follow up of the reduction and functional outcome evaluation using the Majeed functional outcome score

No intervention

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

fixation of sacral fractures by posterior tenstion band plate then follow up of the functional outcome by majeed outcome score at 6th month post operative

You may qualify if:

• comminuted sacral fracture,
• bilateral sacral fracture,
• osteoporotic sacral fractures,
• spinopelvic dissociation and
• late presented (neglected) sacral fracture.

You may not qualify if:

• Patients with a preoperative diagnosis of a Morel- Lavallee lesion,
• unfit patients
• immature skeleton will be excluded

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Assiut faculty of medicine

Asyut, 71111, Egypt

Location

Related Publications (3)

• Suzuki T, Hak DJ, Ziran BH, Adams SA, Stahel PF, Morgan SJ, Smith WR. Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures. Injury. 2009 Apr;40(4):405-9. doi: 10.1016/j.injury.2008.06.039. Epub 2008 Dec 17.

  PMID: 19095233 BACKGROUND

• Padalkar P, Pereira BP, Kathare A, Sun KK, Kagda F, Joseph T. Trans-iliosacral plating for vertically unstable fractures of sacral spine associated with spinopelvic dissociation: A cadaveric study. Indian J Orthop. 2012 May;46(3):274-8. doi: 10.4103/0019-5413.96376.

  PMID: 22719112 BACKGROUND

• Sasso RC, Vaccaro AR, Chapman JR, Best NM, Zdeblick TA, Harris MB. Sacral fractures. Instr Course Lect. 2009;58:645-55.

  PMID: 19385574 BACKGROUND

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 11, 2018
• First Posted: July 30, 2018
• Study Start: July 1, 2018
• Primary Completion: January 6, 2020
• Study Completion: May 1, 2020
• Last Updated: May 27, 2020

Record last verified: 2020-05

Locations

EG (1)