- See:
Sacro-Iliac Fracture Dislocations:
- Management:
- consider
direct frx fixation from iliac crest into sacrum;
- under x-ray control, long,
6.5-mm cannulated lag screws transfix the
frx from iliac wing to body of S-1;
- because of risk to neural structures, K guide wire usually is inserted,
and its position is confirmed before the screw is placed;
- alternative approach with less potential for
Neurologic Injury is to
place fixation device between the two posterior iliac crests;
- large diameter threaded sacral bars or double cobra plates are
commonly employed.
- Incision:
- incision is made parallel to the crest, allowing access to external
and internal surfaces of the iliac wing.
- depending on type of frx, long lag screws can be placed between two
tables of the ilium, spanning the fracture site, or screws can be
supplemented by plates;
