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Research ArticleLumbar Spine

A Modified Triangular Osteosynthesis Protocol for the Rod and Pedicle Screw Fixation of Vertical Unstable Sacral Fractures

Dawei Tian, Xiaojun Guo, Na Liu, Bo Wang, Hongsheng He and Min Xiong
International Journal of Spine Surgery June 2021, 15 (3) 485-493; DOI: https://doi.org/10.14444/8070
Dawei Tian
1Department of Orthopedics, Hubei University of Medicine Dongfeng Hospital, Shiyan 442008, Hubei, China
MD, PHD
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Xiaojun Guo
2Department of General Surgery, Hubei University of Medicine Dongfeng Hospital, Shiyan 442008, Hubei, China
MD
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Na Liu
3Department of Information Management and Information System, Hubei University of Medicine, Shiyan 442008, Hubei, China
MS
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Bo Wang
4Department of Spine Section, University of Chinese Academy of Sciences—Shenzhen Hospital, Shenzhen 518003, Guangdong, China
MD, PHD
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Hongsheng He
1Department of Orthopedics, Hubei University of Medicine Dongfeng Hospital, Shiyan 442008, Hubei, China
MD
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Min Xiong
1Department of Orthopedics, Hubei University of Medicine Dongfeng Hospital, Shiyan 442008, Hubei, China
MD, PHD
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    Figure 1

    Diagram demonstrating posteroanterior view and the technique of fixation: (A) the point of pedicle insertion hole in L4, L5, and ilium, (B) poly-axial screws in L4, L5, and ilium.

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    Figure 2

    (A)–(C) Radiographs of a 16-year-old girl with right vertical unstable sacral fractures and right femur fractures, showing a preoperation anteroposterior x-ray, computed tomography (CT) coronal and 3-dimensional view and (D) the immediate postoperative scans after reduction and internal fixation. (E). Postoperative anteroposterior x-ray at the second month. (F) Loosening of the hardware was detected at the fifth month. (G)–(H) A follow-up view at the 10th month. (I) The anteroposterior x-ray at the 11th month indicates hardware removal; no loss of reduction was detected.

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    Figure 3

    Radiographs of a 59-year-old female with right vertical unstable sacral fractures before and after operation. (A) An initial anteroposterior scan. (B) An immediate postoperative scan after reduction and posterior fixation.

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International Journal of Spine Surgery
Vol. 15, Issue 3
1 Jun 2021
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A Modified Triangular Osteosynthesis Protocol for the Rod and Pedicle Screw Fixation of Vertical Unstable Sacral Fractures
Dawei Tian, Xiaojun Guo, Na Liu, Bo Wang, Hongsheng He, Min Xiong
International Journal of Spine Surgery Jun 2021, 15 (3) 485-493; DOI: 10.14444/8070

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A Modified Triangular Osteosynthesis Protocol for the Rod and Pedicle Screw Fixation of Vertical Unstable Sacral Fractures
Dawei Tian, Xiaojun Guo, Na Liu, Bo Wang, Hongsheng He, Min Xiong
International Journal of Spine Surgery Jun 2021, 15 (3) 485-493; DOI: 10.14444/8070
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Keywords

  • triangular osteosynthesis
  • vertical unstable sacral fracture
  • a rod and pedicle screw fixation system

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