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 language | English (US) |
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Article number | e0119 |
Journal | JBJS case connector |
Volume | 9 |
Issue number | 4 |
DOIs | |
State | Published - 2019 |
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine