Spino-Pelvic Fixation in Unstable Sacral Fracture: A Case Report

Jung-Hwan Choi; Kyu-Tae Hwang; Seung Gun Lee; Chang-Nam Kang

doi:10.12671/jkfs.2018.31.4.145

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Choi, Hwang, Lee, and Kang: Spino-Pelvic Fixation in Unstable Sacral Fracture: A Case Report

Case Report

Journal of the Korean Fracture Society 2018; 31(4): 145-148.

Published online: 25 October 2018

DOI: https://doi.org/10.12671/jkfs.2018.31.4.145

Spino-Pelvic Fixation in Unstable Sacral Fracture: A Case Report

Jung-Hwan Choi, M.D.

, Kyu-Tae Hwang, M.D., Ph.D.

, Seung Gun Lee, M.D.

, Chang-Nam Kang, M.D., Ph.D.

Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.

Correspondence to: Chang-Nam Kang, M.D., Ph.D. Department of Orthopaedic Surgery, Hanyang University College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea. Tel: +82-2-2290-8485, Fax: +82-2-2299-3774, cnkang65@hanyang.ac.kr

Received 8 July 2018 Revised 13 July 2018 Accepted 13 July 2018

The Korean Fracture Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 22-year-old female patient visited the emergency room (ER) after a pedestrian traffic accident in a drunken state. An examination at the ER revealed fractures at the right side of the sacral ala, sacral foramina, left anterior acetabulum, right inferior ramus, and right superior articular process of S1. She underwent spino-pelvic fixation and iliosacral (IS) screw fixation. One year later, bone union was completed and implant removal was performed and the treatment was completed without complications. The authors recommend spino-pelvic fixation and IS screw fixation for unstable sacral fractures as one of the excellent methods for obtaining posterior stability of the pelvis among the various treatments of unstable sacral fractures.

Keywords: Unstable sacral fracture, Spino-pelvic fixation, Percutaneous iliosacral screw fixation, Iliac screw

Figures and Tables

Fig. 1

Anteroposterior pelvis radiograph (A), 3-dimentional computed tomography (CT) (B), and axial view of the CT (C) shows a fracture at the right side of the sacral ala, sacral foramina, left anterior acetabulum, and right inferior ramus, right superior articular process of S1.

Fig. 2

(A) T2-weighted axial image shows right L5 nerve root compressionby hematoma (white arrows), (B) sagittal image shows hematoma on the anterior epidural space from L5 to S3.

Fig. 3

Postoperative radiographs. Decompression and transpedicular and spino-pelvic fixation, and iliosacral screw fixation were done.

Notes

^{Financial support} None.

^{Conflict of interests} None.

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ORCID iDs

Jung-Hwan Choi
https://orcid.org/0000-0003-4653-2961

Kyu-Tae Hwang
https://orcid.org/0000-0003-2477-7888

Seung Gun Lee
https://orcid.org/0000-0001-7401-7620

Chang-Nam Kang
https://orcid.org/0000-0002-4633-3391

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