Trans-sacral Screw Fixation of Posterior Pelvic Ring Injuries: Review and Expert Opinion

Overview

Journal Patient Saf Surg

Publisher Biomed Central

Date 2022 Jul 27

PMID 35897108

Authors

Navid Ziran

Cory A Collinge

Wade Smith

Joel M Matta

Affiliations

Soon will be listed here.

Abstract

Posterior pelvic ring injuries (i.e., sacro-iliac joint dislocations, fracture-dislocations, sacral fractures, pelvic non-unions/malunions) are challenging injury patterns which require a significant level of surgical training and technical expertise. The modality of surgical management depends on the specific injury patterns, including the specific bony fracture pattern, ilio-sacral joint involvement, and the soft tissue injury pattern. The workhorse for posterior pelvic ring stabilization has been cannulated iliosacral screws, however, trans-sacral screws may impart increased fixation strength. Depending on injury pattern and sacral anatomy, trans-sacral screws can potentially be more beneficial than iliosacral screws. In this article, the authors will briefly review pelvic mechanics and discuss their rationale for ilio-sacral and/or trans-sacral screw fixation.

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