Mohamed Lamine Bah¹, Louncény Fatoumata Barry²*, Tafsir Camara¹, Ibrahima Sory Bangoura¹, Mamady Sékou Conde¹, Ibrahima Kourala Keita¹, Amadou Tanou Bah¹, Thierno Hamidou Balde³, Sagbo Arnold Kponou², Alpha Youssouf Conde², Ibrahima Sory Doumbouya³ and Alpha Boubacar Bah²

¹Orthopedics and Traumatology Department, Ignace Deen University Hospital, Conakry, Guinea
²Neurosurgery Unit, Ignace Deen University Hospital, Conakry, Guinea
³Medical Imaging Department, Ignace Deen University Hospital, Conakry, Guinea

*Corresponding Author: Louncény Fatoumata Barry, Neurosurgery Unit, Ignace Deen University Hospital, Conakry, Guinea.

Received: February 22, 2026; Published: July 09, 2026

Abstract

Introduction: Enabling anatomical reduction and rigid fixation to facilitate early mobilization of patients, percutaneous sacroiliac screw fixation is currently the gold standard technique for treating unstable posterior pelvic ring injuries. We report on our experience with this technique.

Materials and Methods: This was a prospective analysis prospective analysis including all patients operated on in the neurosurgery unit of the orthopedics and traumatology department at Ignace Deen University Hospital for sacroiliac dislocation or fracture-dislocation using screws over a two-year period from January 2024 to December 2025, with a minimum follow-up period of six months postoperatively.

Results: Twenty-six cases were identified with a mean age of 34.5 years and a predominance of females (7M/19F). Sacroiliac arthralgia was the main symptom and was present in all patients, associated with functional impairment of the ipsilateral pelvic limb. The average time to consultation was 6 days. The average Visual Analogue Scale score was 8.5. Computed tomography of the pelvis was performed in all patients. The indication for surgery was based on the Tile classification. All patients underwent postoperative pelvic radiography. The outcome was favorable in 85% of cases, with a mean Visual Analogue Scale score of 1 to 6 months postoperatively. In terms of morbidity, we noted two cases of surgical site infection. There were no deaths.

Conclusion: Although the number of cases in this study is small, our positive results in terms of symptom improvement and satisfaction rates suggest that sacroiliac screw fixation is a relatively safe and effective way to treat traumatic injuries of the sacroiliac joint.

Keywords: Dislocation; Fracture-Dislocation; Percutaneous; Sacroiliac; Screw Fixation

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Citation

Citation: Louncény Fatoumata Barry.,et al. “Percutaneous Sacroiliac Screw Fixation: Preliminary Experience in a Country with Limited Healthcare Re- sources, Based on 26 Cases". Acta Scientific Orthopaedics 9.4 (2026): 10-14.

Copyright

Copyright: © 2026 Louncény Fatoumata Barry.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.