Bilateral vertical shear sacroiliac joint dislocations treated with bilateral triangular osteosynthesis in a young female: A case report

Steelman, Kevin; Russell, Reid; Vaidya, Rahul

doi:10.1016/j.tcr.2021.100485

Cited by 3 publications

(3 citation statements)

References 9 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our review confirms the heterogeneity of the data in the existing literature in terms of surgical management for unstable lumbosacral fractures ( 12 – 27 ).…”

Section: Discussionsupporting

confidence: 82%

“…However, some complications such as L5-S1 facet joint distraction with the need for a second surgery, and iatrogenic nerve injury, have been described in 3 of the 5 studies (12,13,24). Two studies (15,27) did not report neither malunion nor nerve impairment after surgery. The main limitation of TOS technique is that it requires a highly skilled surgeon specialized in the treatment of pelvic ring fractures as it is a very complicated procedure (35,36).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Triangular osteosynthesis and lumbopelvic fixation as a valid surgical treatment in posterior pelvic ring lesions: a systematic review

Rovere,

De Mauro,

Smakaj

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

ObjectiveUnstable fractures of the sacrum often occur in patients with pelvic fractures and represent a real challenge for the orthopedic surgeon. Triangular osteosynthesis (TOS) and lumbopelvic fixation (LP) may represent a valid management option for the treatment of this condition. We present a systematic literature review about lumbopelvic fixation and triangular fixation as treatment option for unstable sacral fractures, to assess clinical and radiological outcomes after surgery and to evaluate appropriate indications and impact on the natural history of sacral fractures.MethodsThe review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. 50 articles out of 108 titles, were considered eligible for the full-text analysis. Finally, 16 studies that met inclusion criteria were included in this review.ResultsOverall, 212 patients (87 males, 58 females) with sacral fractures treated with TOS triangular fixation or LP lumbopelvic fixation were collected. The mean age was 37.6 years. Mean follow-up reported in all studies was 24.14 months.ConclusionThe results presented by the different authors, highlight the effectiveness of TOS triangular fixation and LP lumbopelvic fixation for the treatment of unstable sacral fractures associated with other pelvic fractures, in terms of function, stability, cost-effectiveness, and quality of life postoperatively.

show abstract

“…Our review confirms the heterogeneity of the data in the existing literature in terms of surgical management for unstable lumbosacral fractures ( 12 – 27 ).…”

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Triangular osteosynthesis and lumbopelvic fixation as a valid surgical treatment in posterior pelvic ring lesions: a systematic review

Rovere,

De Mauro,

Smakaj

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…TFX consists of unilateral or bilateral lumbopelvic fixations and iliosacral screws, and has been widely used for its superior usefulness as a biomechanical model, fixed strength, and ability to improve neurological deficiency. 5 , 6 , 7 , 8 , 9 , 10 , 11 TFX can not only simultaneously reduce and fix sacral fractures, but can also formulate a tri‐dimensional interlocking structure to fix the fracture both directly and indirectly, there by obtaining maximum sacral stability.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Unstable Sacral Fractures with Robotically‐aided Minimally Invasive Triangular Fixation

Tian,

Jia,

Zheng

et al. 2023

Orthopaedic Surgery

View full text Add to dashboard Cite

ObjectiveThe treatment of unstable sacral fractures is huge challenge to surgeons. Robotically‐aided minimally invasive triangular fixation (RoboTFX) is the most advanced technique up to now. This study is to evaluate the clinical outcomes of unstable sacral fractures treated with RoboTFX.MethodsFrom March 2017 to October 2021, 48 consecutive patients with unstable sacral fractures were included in the study. All patients received surgical treatment with triangular fixation (TFX). Patients were divided into four groups according to the number of fractures (uni‐ or bilateral) and surgical method employed (RoboTFX or traditional open TFX). Between these four groups, clinical data on operation time, intraoperative bleeding, intraoperative fluoroscopy time, infection rate, fracture healing rates, insertion accuracy, Majeed pelvic outcome score, Mears' criterion, and Gibbons score were compared. Quantitative data were expressed as mean ± standard deviation and compared using Student's t‐test. Categorical variable were compared using the Pearson's χ2 test.ResultsComparing unilateral RoboTFX versus open TFX, neither fracture healing rate, infection rate, Majeed pelvic outcome score, Mears' radiological evaluation criterion, nor Gibbons score of the two groups were statistically significantly different (p > 0.05). However, operation time, intraoperative bleeding, intraoperative fluoroscopy time, and insertion accuracy in the RoboTFX group were all significantly better than those of the traditional open group (p < 0.05). Likewise, operation time, intraoperative bleeding, intraoperative fluoroscopy time, and accuracy of fixation insertion of the bilateral RoboTFX group were significantly better than those of the bilateral open group (p < 0.05). Meanwhile infection rate, fracture healing rate, Majeed score, Mears' criterion, and Gibbons score of two groups were not significantly different (p > 0.05).ConclusionRoboTFX has the advantages of less operation time, less intraoperative bleeding and fluoroscopy, more accurate fixation insertion, and a higher healing rate compared to traditional open methods in the treatment of unstable sacral fractures. However, RoboTFX requires a few critical considerations, and the indications of its operation should be strictly evaluated.

show abstract

Modified triangular osteosynthesis in the treatment of bilateral sacroiliac joint dislocation

Correia

Almeida

Dantas

et al. 2023

Trauma Case Reports

View full text Add to dashboard Cite

Bilateral vertical shear sacroiliac joint dislocations treated with bilateral triangular osteosynthesis in a young female: A case report

Cited by 3 publications

References 9 publications

Triangular osteosynthesis and lumbopelvic fixation as a valid surgical treatment in posterior pelvic ring lesions: a systematic review

Triangular osteosynthesis and lumbopelvic fixation as a valid surgical treatment in posterior pelvic ring lesions: a systematic review

Treatment of Unstable Sacral Fractures with Robotically‐aided Minimally Invasive Triangular Fixation

Modified triangular osteosynthesis in the treatment of bilateral sacroiliac joint dislocation

Contact Info

Product

Resources

About