Lumbo-sacro-pelvic Fixation Using Iliac Screws for the Complex Lumbo-sacral Fractures.
10.3340/jkns.2007.42.6.495
- Author:
Woo Tack RHEE
1
;
Seung Hoon YOU
;
Yeon Gyu JANG
;
Sang Youl LEE
Author Information
1. Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea. seasons@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Iliac screw;
U-shped sacral fracture;
Lumbo-sacro-pelvic fixation
- MeSH:
Humans
- From:Journal of Korean Neurosurgical Society
2007;42(6):495-498
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fractures of lumbo-sacral junction involving bilateral sacral wings are rare. Posterior lumbo-sacral fixation does not always provide with sufficient stability in such cases. Various augmentation techniques including divergent sacral ala screws, S2 pedicle screws and Galveston rods have been reported to improve lumbo-sacral stabilization. Galveston technique using iliac bones would be the best surgical approach especially in patients with bilateral comminuted sacral fractures. However, original Galveston surgery is technically demanding and bending rods into the appropriate alignment is time consuming. We present a patient with unstable lumbo-sacral junction fractures and comminuted U-shaped sacral fractures treated by lumbo-sacro-pelvic fixation using iliac screws and discuss about the advantages of the iliac screws over the rod system of Galveston technique.
