Related Experiment Video
Updated: Mar 16, 2026
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
Transsacral-Transiliac Screw Stabilization: Effective for Recalcitrant Pain Due to Sacral Insufficiency Fracture
Drew Sanders1, Joshua Fox, Adam Starr
1*Department of Orthopaedic Surgery, University of Texas Southwestern, Dallas, TX; and†Orthopaedic Trauma Service, Tampa, FL.
Objectives:
To evaluate the effectiveness of transsacral-transiliac screw fixation for the treatment of sacral insufficiency fractures that fail nonoperative treatment.
Design:
A pilot study series of consecutive patients identified over 5 years were treated and followed prospectively.
Setting:
Academic-affiliated, tertiary referral, level 1 trauma center in Dallas, TX.
Patients/Participants:
Patients were selected on the basis of presenting diagnosis, and failure of nonoperative treatment of their sacral insufficiency fracture. Eleven patients entered to the study, and 10 completed follow-up.
Intervention:
Placement of transsacral-transiliac screws for sacral insufficiency fracture.
Main Outcome Measurements:
Comparison of preoperative and postoperative Visual Analog Scale scores and Oswestry Low Back Disability Index scores.
Results:
Patients experienced statistically significant improvement in both outcome measures after intervention. No complications encountered.
Conclusions:
Transsacral-transiliac screw fixation seems to be a safe and effective treatment for sacral insufficiency fractures recalcitrant to nonoperative management.
Level Of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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