Journal of Orthopaedic Trauma. 32(5):e185–e190, MAY 2018
DOI: 10.1097/BOT.0000000000001101
,
PMID: 29315198
Issn Print: 0890-5339
Publication Date: 2018/05/01
Biplanar Posterior Pelvic Fixator for Unstable Sacral Fractures: A New Fixation Technique
Mohamed Abo-Elsoud;Said Eldeeb;Mohamed Gobba;Fouad Sadek;
+ Author Information
Department of Orthopaedics and Traumatology, Kasralainy School of Medicine, Cairo University, Egypt.
Abstract
Fixation of comminuted vertically unstable sacral fractures continues to be a surgical dilemma. Although triangular osteosynthesis is a good construct and resists vertical translation, complications still occur. Herein, we introduce a new biplanar fixation technique, using segmental spinal instrumentation as an alternative to triangular osteosynthesis. This technique is remarkably valuable in cases with sacral morphology and/or complex fracture patterns that preclude safe percutaneous iliosacral screw insertion.
