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Incidence of and Risk Factors for Screw Loosening after Iliosacral Screw Fixation for Posterior Pelvic Ring Injury.

Wei Zhou,Jianan Chen,Xuan Pei,Peizhao Liu,Guodong Wang,Xiang Jiang,Ximing Liu

Orthopaedic surgery（2023）

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Abstract
Vertical shear injuries, sacral fractures, injury site located in the medial sacral foramina, and lower OSTA index are significantly associated with the postoperative occurrence of screw loosening. Transiliac-transsacral screw fixation and screws insertion both at the level of the S1 and second sacral segment can prevent screw loosening.
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Key words
Iliosacral Screw,Loosening,Pelvic,Postoperative Effect,Regression Analysis,Risk Factors
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