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J Korean Neurosurg S · Dec 2007
Case ReportsLumbo-sacro-pelvic Fixation Using Iliac Screws for the Complex Lumbo-sacral Fractures.
- Woo-Tack Rhee, Seung-Hoon You, Yeon-Gyu Jang, and Sang-Youl Lee.
- Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea.
- J Korean Neurosurg S. 2007 Dec 1; 42 (6): 495-8.
AbstractFractures of lumbo-sacral junction involving bilateral sacral wings are rare. Posterior lumbo-sacral fixation does not always provide with sufficient stability in such cases. Various augmentation techniques including divergent sacral ala screws, S2 pedicle screws and Galveston rods have been reported to improve lumbo-sacral stabilization. Galveston technique using iliac bones would be the best surgical approach especially in patients with bilateral comminuted sacral fractures. However, original Galveston surgery is technically demanding and bending rods into the appropriate alignment is time consuming. We present a patient with unstable lumbo-sacral junction fractures and comminuted U-shaped sacral fractures treated by lumbo-sacro-pelvic fixation using iliac screws and discuss about the advantages of the iliac screws over the rod system of Galveston technique.
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