• J Orthop Trauma · May 2009

    Review

    Technical aspects and recommended treatment algorithms in triangular osteosynthesis and spinopelvic fixation for vertical shear transforaminal sacral fractures.

    • H Claude Sagi.
    • Orthopaedic Trauma Service, Tampa General Hospital, Florida Orthopaedic Institute, University of South Florida, Tampa, FL, USA. eversosaggy@me.com
    • J Orthop Trauma. 2009 May 1;23(5):354-60.

    AbstractVertically unstable pelvic ring injuries associated with comminuted transforaminal sacral fractures present a special problem to the treating surgeon in applying stable fixation for maintaining reduction. Triangular osteosynthesis and spinal-pelvic constructs are relatively new techniques used to avoid loss of reduction for treating these difficult fractures, and the last decade has seen a marked increase in the use of these techniques. This article aims to describe the indications and technical aspects in the use of spinal-pelvic constructs for vertical shear sacral fractures such that they can be applied to better help the patients with these injuries.

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