title: Open reduction and posterior instrumentation of type 3 high transverse sacral fracture-dislocation: technical note.
abstract: The authors describe an open reduction and fixation through a posterior approach of Roy-Camille Type 3 transverse sacral fractures. This technique involves posterior staged reduction of the fracture applying distraction forces to restore the height, followed by posterior translation to restore sagittal alignment. Tips and pearls of this procedure, described for the first time in the literature, are also discussed in this report.
authors.affiliation: Nottingham University Hospital, Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham, United Kingdom; and.
authors.forename: Konstantinos A
authors.initials: KA
authors.lastname: Starantzis
authors.forename: Babak
authors.initials: B
authors.lastname: Mirzashahi
authors.forename: Eyal
authors.initials: E
authors.lastname: Behrbalk
authors.forename: Mirmostafa
authors.initials: M
authors.lastname: Sadat
authors.forename: Masood
authors.initials: M
authors.lastname: Shafafy
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: TSF = transverse sacral fracture; posterior instrumentation; reduction; surgical treatment; technique; transverse sacral fracture; trauma