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

Authors
 Ji Won Kwon  ;  Jong Kwan Shin  ;  Seong Hwan Moon  ;  Hwan Mo Lee  ;  Byung Ho Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.61(2) : 198-200, 2020-02 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2020-02
Keywords
Arthrodesis ; iliac screws ; pyogenic sacroiliitis
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.
Files in This Item:
T202000925.pdf Download
DOI
10.3349/ymj.2020.61.2.198
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Moon, Seong Hwan(문성환)
Shin, Jong-Kwan(신종관)
Lee, Byung Ho(이병호) ORCID logo https://orcid.org/0000-0001-7235-4981
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175950
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