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

Jung-Hwan Choi, K. Hwang, Seung Gun Lee, Chang-Nam Kang
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Abstract

Financial support: None. Conflict of interests: None. 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.
脊柱-骨盆固定治疗不稳定骶骨骨折1例
资金支持:无。利益冲突:无。一名22岁的女性患者在醉酒状态下发生行人交通事故后来到急诊室。急诊检查显示骶翼右侧、骶孔、左髋臼前、右下支和S1右上关节突骨折。她接受了脊柱-骨盆固定和髂骶(IS)螺钉固定。一年后,完成骨愈合,取出种植体,治疗结束,无并发症。作者推荐脊柱-骨盆内固定和IS螺钉内固定治疗不稳定的骶骨骨折,作为获得骨盆后稳定性的最佳方法之一。
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