TWO CASES OF TRANS-ILIAC TRANS-SACRAL SCREW FIXATION FOR ROMMENS CLASSIFICATION IVb FRAGILITY FRACTURE OF PELVIC RING IVb

DOI
  • INAGAKI Naoya
    Department of Orthopedic Surgery, The Jikei University Kashiwa Hospital
  • MATSUOKA Tatsuki
    Department of Orthopedic Surgery, The Jikei University School of Medicine
  • SASAMOTO Shohei
    Department of Orthopedic Surgery, Fuji City General Hospital
  • KAGIWARA Muneta
    Department of Orthopedic Surgery, The Jikei University School of Medicine
  • HAO Motoshi
    Department of Orthopedic Surgery, The Jikei University Kashiwa Hospital
  • ICHIMORI Siina
    Department of Orthopedic Surgery, Fuji City General Hospital
  • NISHIZAWA Go
    Department of Orthopedic Surgery, The Jikei University Kashiwa Hospital
  • SAITO Mitsuru
    Department of Orthopedic Surgery, The Jikei University School of Medicine

Bibliographic Information

Other Title
  • Rommens分類IVbの脆弱性骨盤輪骨折に対してtrans-iliac trans-sacral screw固定を施行した2例

Description

<p>　　The incidence of fragility fractures of the pelvis (FFP) due to low-energy trauma is increasing in the elderly. Particularly, H- and U-type fractures of FFP type IVb according to the Rommens classification, which are characterized by spinopelvic dissociation, often require spinopelvic fixation. However, in elderly patients with multiple comorbidities, minimally invasive treatments are preferred, such as trans-iliac trans-sacral (TTS) screw fixation. We encountered 2 cases of FFP type IVb fractures treated with TTS screw fixation. Both cases involved H-type fractures, with high-level horizontal fractures at the S2 level. Two TTS screws were inserted into the S1 vertebra, and walking with full weight-bearing was permitted immediately postoperatively. Bone union was achieved at 6 months postoperatively, and the patients returned to their pre-injury level of activities of daily living. While meticulous preoperative planning and reassessment of technical skills are necessary, favorable clinical outcomes can be achieved if two TTS screws are appropriately inserted.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390021459405306112
  • DOI
    10.11382/jjast.39.1_04
  • ISSN
    21880190
    13406264
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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