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Computed tomography-guided screw fixation of a sacroiliac joint dislocation fracture: a case report
- Source :
- Journal of Orthopaedic Science. 8:729-732
- Publication Year :
- 2003
- Publisher :
- Elsevier BV, 2003.
-
Abstract
- A 19-year-old woman sustained a vertical shear type pelvic fracture. Sacroiliac fixation using computed tomography (CT)-guided cannulated screws was performed for a left sacroiliac dislocation fracture, and a satisfactory result was obtained over time. Patients who have posterior instability of the lateral compression or vertical shear type do not obtain adequate stability by fixation of the anterior part alone; and they often have persistent residual pain, necessitating internal fixation of the posterior part later. Advantages of CT-guided sacroiliac screw fixation include precise evaluation of the degree of reduction and absence of nerve and vascular damage during the time the screw is inserted into the sacral body. This procedure is a useful, safe method owing to its minimal invasiveness in patients with unstable pelvic fractures that are reducible by manual manipulation or traction.
- Subjects :
- Adult
musculoskeletal diseases
medicine.medical_specialty
medicine.medical_treatment
Bone Screws
Joint Dislocations
Ilium
Fractures, Bone
Fixation (surgical)
Traction
Finger Injuries
medicine
Humans
Internal fixation
Orthopedics and Sports Medicine
Pubic Bone
Orthodontics
Sacroiliac joint
Lumbar Vertebrae
Osteosynthesis
medicine.diagnostic_test
Multiple Trauma
business.industry
Accidents, Traffic
Sacroiliac Joint
Interventional radiology
Traction (orthopedics)
musculoskeletal system
medicine.disease
medicine.anatomical_structure
Surgery, Computer-Assisted
Orthopedic surgery
Pelvic fracture
Spinal Fractures
Female
Surgery
Radiology
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 09492658
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Science
- Accession number :
- edsair.doi.dedup.....670838af6ef02eea59ad9aa5bceb2081