Technical aspects and recommended treatment algorithms in triangular osteosynthesis and spinopelvic fixation for vertical shear transforaminal sacral fractures.
Vertically unstable pelvic ring injuries associated with comminuted transforaminal sacral fractures present a special problem to the treating surgeon in applying stable fixation for maintaining reduction. Triangular osteosynthesis and spinal-pelvic constructs are relatively new techniques used to avoid loss of reduction for treating these difficult fractures, and the last decade has seen a marked increase in the use of these techniques. This article aims to describe the indications and technical aspects in the use of spinal-pelvic constructs for vertical shear sacral fractures such that they can be applied to better help the patients with these injuries.
Sagi
H Claude
HC
Orthopaedic Trauma Service, Tampa General Hospital, Florida Orthopaedic Institute, University of South Florida, Tampa, FL, USA. eversosaggy@me.com
D000465:Algorithms; D003131:Combined Modality Therapy; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D018579:Patient Selection; D010384:Pelvic Bones / Q000601:surgery*; D012447:Sacrum / Q000293:injuries* / Q000601:surgery*; D033081:Shear Strength; D016103:Spinal Fractures / Q000601:surgery*; D016896:Treatment Outcome