[Pelvic stabilization in cases of septic instability. Triangular osteosynthesis in case of infection related vertical pelvic ring instability].
The combination of transiliac screws and lumbopelvic distraction osteosynthesis is usually an appropriate procedure to treat vertical pelvic ring instabilities under the condition of full weight bearing. In this case, due to the extent of septic destruction of the dorsal portion of the iliac bone, the common triangular fixation method using conventional pedicle screws was not possible. Using the transiliac dorsoventral screw position with special long screws, we achieved high mechanical triangular stability sufficient for pelvic ring fusion despite the large bony defect.
Roetman
B
B
Chirurgische Klinik und Poliklinik der BG-Kliniken Bergmannsheil, Universitätsklinik, Bürkle-de-la-Camp Platz 1, 44789 Bochum. bernd.roetman@rub.de
Schildhauer
T A
TA
Muhr
G
G
D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007085:Ilium / Q000601:surgery*; D007593:Joint Instability / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D010384:Pelvic Bones / Q000601:surgery*; D011542:Pseudarthrosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011677:Punctures; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging; D012447:Sacrum / Q000601:surgery*; D018805:Sepsis / Q000150:complications; D014025:Titanium; D014057:Tomography, X-Ray Computed
D014025:Titanium