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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 71 - 71
1 Apr 2013
Yagata Y Ueda Y Ito Y Koshimune K Mizuno S Toda K
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Introduction

Sacral fractures were previously treated with transiliac bars, sacroiliac screws or posterior plates. Sacroiliac screws are not as invasive, but the risk of intra-operative neurovascular damage must be considered. Posterior plate fixation is slightly invasive. In 2006, we conceived a new fixation method with spinal instrumentation system, and I will introduce it.

Procedure

We make 5cm skin incisions just above each side of post. sup. spine of ilium and make a tunnel under the soft tissue. Then, we insert 4 screws to ilium, pass two rods through the tunnel and fix them. If needed we make reduction or compression. Finally, set the transvers connecting device on both sides.