Related Experiment Video
Updated: Jul 10, 2026
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
Marcelo D Vilela1, Charles Jermani, Bruno P Braga
1Neurosurgery Service, Hospital Mater Dei, Belo Horizonte, MG, Brazil. mdvilela@u.washington.edu
Background:
U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately.
Objective:
To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-year-old man.
Method:
Decompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws.
Results:
Restitution of lumbosacropelvic stability and recovery of sphincter function.
Conclusion:
Lumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.
