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Updated: Dec 15, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Vertical Shear Pelvic Ring Injury Adjacent to Retained Pelvic Hardware: A Case Report
Michael A Yee1, Daniel T Miles, Peter J Nowotarski
1Department of Orthopaedic Surgery, University of Tennessee at Chattanooga, Chattanooga, Tennessee.
Case:
A 47-year-old obese woman presented with a vertical shear (VS) pelvic ring injury after a motor vehicle accident around her previous posterior pelvic hardware. The patient underwent closed reduction with percutaneous posterior screw fixation using combined fluoroscopy and O-arm (Medtronic).
Conclusion:
A rare case of VS pelvic injury with indwelling posterior pelvic hardware does not automatically preclude placement of percutaneous sacroiliac and transiliac-transsacral screws. Combining fluoroscopic imaging and O-arm enables safe screw placement, saving patients from invasive surgeries.
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