complex sacrum fx treatment

20 year old patient with dislocated sacrum fracture and bilateral interruption of the anterior pelvic ring.

 

 

 

 

 

 

 

 

 

 

Surgery description:

  • prone position, straigth longitudinal midline incisione from L5 to sacrum.
  • Exposure of sacrum left side: fracture dislocation of about 2-3 cm.
  • Reduction of sacrum and stabilization with 3.5 reconstruction plates. Mechanical stress resistance will not be sufficient, so we added
  • Stabilization from L5 to ilium bilaterally and transverse rod ilium-ilium (lumbopelvine stabilization)
  • supine position: longitudinal suprapubic Stoppa approach and stabilisation with 2 plates of the anterior ring.

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