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Useful Intraoperative Technique for Percutaneous Stabilization of Bilateral Posterior Pelvic Ring Injuries
Jonathan G Eastman1, Reilly J Kuehn1, Milton L Chip Routt2
1Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, CA.
Abstract:
Treating patients with bilateral posterior pelvic ring injuries can be challenging. Placement of transiliac-transsacral style screws in available S1 or S2 osseous fixation pathways is becoming an increasingly common fixation method for these unstable injuries. We propose a percutaneous technique that sequences reduction and stabilization of 1 hemipelvis with at least 1 transiliac-transsacral screw and then uses the existing transiliac-transsacral screw and accompanying guide wires to assist in temporary stabilization and definitive fixation of the second hemipelvis.
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