ИСТИНА

ABSTRACT BACKGROUND: The initial severity of the condition of victims with vertically unstable pelvic injuries often does not allow for early reconstructive surgery. Thus, the number of long-standing damages is growing. Treatment of patients with chronic injures (after 3 weeks since injury) of the pelvic ring with the vertical displacement (more than 20 mm) causes a separate difficulty. AIM: To analyze the immediate and long-term results of treatment of patients with chronic vertically unstable pelvic ring injuries. MATERIALS AND METHODS: The results of treatment of 31 patients of the Priorov National Medical Research Center with chronic vertically unstable damage to the pelvic ring in the period from 2017 to 2024 were analyzed. To assess the results of treatment, clinical and radiation diagnostic methods and the Majeed questionnaire were used. RESULTS: The long–term follow-up period for patients ranged from 1 to 3 years (on average 2.1 years). Excellent results on Majeed a year after surgery were achieved in 3 (9.7%) patients, good in 25 (80.6%), satisfactory in 3 (9.7%), there were no unsatisfactory results. CONCLUSIONS: The technique of spino-pelvic fixation makes it possible to effectively treat chronic vertically unstable injuries of the pelvic ring and perform simultaneous reposition and stable fixation of the posterior pelvic ring.