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Mini-open stabilization of a sacral fracture: technical case report.
Jennifer Hong1, William J Spire, Nathan E Simmons
1Division of Neurosurgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03765, USA. Jennifer.Hong@hitchcock.org
Neurosurgery
|August 17, 2012
Summary
A novel mini-open lumbar-ilium fixation effectively stabilized a comminuted sacral fracture in a patient, offering a straightforward surgical option with minimal complications and radiation exposure.
Area of Science:
- Orthopedic surgery
- Spinal fusion techniques
- Trauma management
Background:
- Comminuted sacral fractures pose significant surgical challenges.
- Traditional open and percutaneous screw fixation methods have notable complication rates.
- A novel mini-open lumbar-ilium fixation technique is presented for sacral fracture stabilization.
Observation:
- A 33-year-old male patient sustained a comminuted sacral fracture from a fall.
- Conservative management was insufficient due to pain.
- A mini-open procedure utilizing L4-L5 pedicle screws and bilateral iliac screws was performed.
Findings:
- The mini-open lumbar-ilium fixation involved four small paramedian incisions.
- Pedicle and iliac screws were placed with minimal fluoroscopic guidance.
- The procedure resulted in successful sacral healing at one-year follow-up with no neurological deficits.
Implications:
- This mini-open technique provides a simplified approach to sacral stabilization.
- The method minimizes blood loss and radiation exposure.
- Potential for combination with decompressive procedures exists for complex cases.
