Minimally Invasive Fixation for Spinopelvic Dissociation: Percutaneous Triangular Osteosynthesis with S2 Alar-Iliac and Iliosacral Screws: A Case Report

Mostafa H. El Dafrawy, Babar Shafiq, Ravi Vaswani, Greg M. Osgood, Erik A. Hasenboehler, Khaled M. Kebaish

Research output: Contribution to journalArticlepeer-review

Abstract

Case:Traumatic U- A nd H-type sacral fractures are often unstable, causing spinopelvic dissociation. We describe a minimally invasive approach that allows percutaneous spinopelvic fixation of unstable H-type sacral fractures using a triangular osteosynthesis construct with S2 alar-iliac screws. We present the case of a patient with traumatic lumbopelvic dissociation who underwent percutaneous S2 alar-iliac and iliosacral screw fixation.Conclusions:Combined percutaneous S2 alar-iliac and iliosacral screw fixation is a safe option for spinopelvic fixation and avoids the soft-tissue compromise of open approaches. The triangular osteosynthesis construct provides adequate pelvic anchor points to allow immediate weight-bearing.

Original languageEnglish (US)
Article numbere0119
JournalJBJS case connector
Volume9
Issue number4
DOIs
StatePublished - 2019

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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