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.