Open AccessTrans-iliosacral plating for vertically unstable fractures of sacral spine associated with spinopelvic dissociation: A cadaveric study
Author(s) -
Pravin Padalkar,
Barry P. Pereira,
Ambadas Kathare,
Khong Kok Sun,
Fareed Kagda,
Joseph Thambiah
Publication year - 2012
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.96376
Subject(s) - sacrum , cadaveric spasm , medicine , fixation (population genetics) , pelvis , cadaver , anatomy , orthodontics , surgery , population , environmental health
The treatment algorithm for sacral fracture associated with vertical shear pelvic fracture has not emerged. Our aim was to study a new approach of fixation for comminuted and vertically unstable fracture pattern with spinopelvic dissociation to overcome inconsistent outcome and avoid complications associated with fixations. We propose fixation with well-contoured thick reconstruction plate spreading across sacrum from one iliac bone to another with fixation points in iliac wing, sacral ala and sacral pedicle on either side. Present biomechanical study tests the four fixation pattern to compare their stiffness to vertical compressive forces.