Useful Intraoperative Technique for Percutaneous Stabilization of Bilateral Posterior Pelvic Ring Injuries : Journal of Orthopaedic Trauma

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Useful Intraoperative Technique for Percutaneous Stabilization of Bilateral Posterior Pelvic Ring Injuries

Eastman, Jonathan G. MD*; Kuehn, Reilly J. MD*; Chip Routt, Milton L. Jr MD

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Journal of Orthopaedic Trauma 32(5):p e191-e197, May 2018. | DOI: 10.1097/BOT.0000000000001047

Abstract

Summary: 

Treating patients with bilateral posterior pelvic ring injuries can be challenging. Placement of transiliac-transsacral style screws in available S1 or S2 osseous fixation pathways is becoming an increasingly common fixation method for these unstable injuries. We propose a percutaneous technique that sequences reduction and stabilization of 1 hemipelvis with at least 1 transiliac-transsacral screw and then uses the existing transiliac-transsacral screw and accompanying guide wires to assist in temporary stabilization and definitive fixation of the second hemipelvis.

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