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Related Experiment Video

Updated: May 11, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Fixation techniques for complex traumatic transverse sacral fractures: a systematic review.

S Samuel Bederman1, Jeffrey M Hassan, Kalpit N Shah

  • 1Department of Orthopaedic Surgery, University of California at Irvine, Orange, CA 92868, USA. sbederma@uci.edu

Spine
|May 2, 2013
PubMed
Summary

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Posterior pelvic ring fixation (PPRF) effectively stabilizes transverse sacral fractures (TSF). Spinopelvic fixation (SPF) is recommended for TSF with associated lumbosacral instability.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Spine Surgery

Background:

  • Optimal management for transverse sacral fractures (TSF) remains unclear despite various surgical interventions.
  • Existing literature lacks comprehensive summaries of TSF surgical techniques and outcomes.

Purpose of the Study:

  • To identify and describe reconstruction methods for TSF treatment.
  • To evaluate outcomes based on different surgical interventions for TSF.

Main Methods:

  • Systematic review of PubMed database using keywords for sacral fractures requiring internal fixation.
  • Inclusion of bibliographies and meeting proceedings for comprehensive data retrieval.

Main Results:

  • 27 publications (109 patients) with TSF were included, with an average follow-up of 22 months.

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Last Updated: May 11, 2026

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04:19

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  • Posterior pelvic ring fixation (PPRF) was used in 49% of patients, spinopelvic fixation (SPF) in 34%, and both in 17%.
  • Neurological recovery varied, with PPRF showing effectiveness, while SPF was crucial for cases with additional lumbosacral instability.
  • Conclusions:

    • Posterior pelvic ring fixation (PPRF) demonstrates effectiveness in stabilizing transverse sacral fractures (TSF).
    • Spinopelvic fixation (SPF) is indicated for TSF when associated with further lumbosacral instability to ensure adequate stabilization.