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Objective: To evaluate functional outcome of single percutaneous iliosacral screw fixation in posterior pelvic ring injuries. Materials and Methods: 20 adult patients of either sex with partially or completely unstable posterior pelvic ring injuries with or without anterior ring injuries admitted between October 2016 to November 2018 were treated with single percutaneous iliosacral screw fixation. The patients were followed clinically and radiologically at four, ten, sixteen and twenty four weeks and assessed with Majeed Pelvic Score. Results: There were 15 male and 5 female with mean average age of 38.1 with 60% being Tiles Type C and 40% being Tiles type B injuries. Out of 20 patients 17 patients (85%) were found to have excellent functional outcome 2 patients (10%) had Good and 1 patient (5%) had fair functional outcome based on clinical grade of Majeed Pelvic score. 1 patient had screw breakage. No patient had Neurological deficit. No case of infection was reported. Conclusion: The results obtained in our study compare well with other studies undertaken in the past and shows that single percutaneous iliosacral screw fixation is safe and efficacious procedure for fixation of sacral fracture and sacroiliac disruption.

Short term functional outcome of single percutaneous Ilio-sacral screw fixation in posterior pelvic ring injuries