J Korean Fract Soc.  2018 Oct;31(4):145-148. 10.12671/jkfs.2018.31.4.145.

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

• Choi JH
• Hwang KT
• Lee SG
• Kang CN

• KMID: 2422895
• DOI: http://doi.org/10.12671/jkfs.2018.31.4.145

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.

Keyword

Unstable sacral fracture; Spino-pelvic fixation; Percutaneous iliosacral screw fixation; Iliac screw

MeSH Terms

Accidents, Traffic
Acetabulum
Emergency Service, Hospital
Female
Humans
Pelvis
Young Adult

Figure

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  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.

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  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.

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  Fig. 3 Postoperative radiographs. Decompression and transpedicular and spino-pelvic fixation, and iliosacral screw fixation were done.

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