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Arthrodesis Using Bilateral Dual Iliac Screws with Autologous Iliac Bone Transfer for the Treatment of Pyogenic Sacroiliitis

Yonsei Medical Journal 2020년 61권 2호 p.198 ~ 200
권지원 ( Kwon Ji-Won ) - Yonsei University College of Medicine Department of Orthopedic Surgery

 ( Shin Jong-Kwan ) - Yonsei University College of Medicine Department of Orthopedic Surgery
문성환 ( Moon Seong-Hwan ) - Yonsei University College of Medicine Department of Orthopedic Surgery
이환모 ( Lee Hwan-Mo ) - Yonsei University College of Medicine Department of Orthopedic Surgery
이병호 ( Lee Byung-Ho ) - Yonsei University College of Medicine Department of Orthopedic Surgery

Abstract


Pyogenic sacroiliitis is a relatively rare condition that often leads to surgical treatment, including debridement and arthrodesis. Here we introduce a new surgical technique using bilateral dual iliac screws to secure early ambulation and maximal fusion success rate for the treatment of pyogenic sacroiliitis. We retrospectively reported a case and technical reports of pyogenic sacroiliitis treated by a new bilateral dual iliac screw fixation arthrodesis technique using radiologic outcomes, including plain X-rays and MRI scans, as well as outcomes based on the visual analogue scale for pain measurement. This technique improved uncontrolled pyogenic sacroiliitis with immediate stability that enabled ambulation and secured firm fixation for extensive evacuation of infected debris and subsequent autograft bone arthrodesis. In conclusion, we recommend bilateral dual iliac screw fixation for the treatment of pyogenic sacroiliitis, as this technique can improve uncontrolled pyogenic sacroiliitis with immediate stability.

키워드

Arthrodesis; iliac screws; pyogenic sacroiliitis
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