| Autor: |
J. Gewiess, C.E. Albers, S.F. Bigdon, J.D. Bastian |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Trauma Case Reports, Vol 43, Iss , Pp 100771- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2352-6440 |
| DOI: |
10.1016/j.tcr.2023.100771 |
| Popis: |
The highest instability in fragility fractures of the pelvis (FFP) is noted in presence of H-, U-type sacral fractures. Suggested surgical treatment options include uni- or bilateral sacroiliac or transsacral screw fixation at different levels or in combination, as well as lumbopelvic and bilateral triangular lumbopelvic stabilization. However, distinct treatment recommendations for this subset of injuries are scarce. We present a case sustaining rapid FFP crescendo instability following initial conservative treatment of a FFP type II injury resulting in a U-type spinopelvic dissociation. Fixation using one percutaneous cement augmented transsacral S1 screw resulted in perpetual clinical improvements in pain and mobility in presence of radiologic fracture consolidation. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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