1. Reduction and Fixation of Bilateral Sacroiliac Fracture-Dislocations with Pelvic Brim Screws and Robotic-Assisted Lumbopelvic Fixation: A Case Report.
- Author
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Helmkamp J, Charles AJ, Tabarestani TQ, Brown M, Paul A, Abd-El-Barr MM, and DeBaun MR
- Subjects
- Humans, Male, Middle Aged, Spinal Fractures surgery, Spinal Fractures diagnostic imaging, Fractures, Bone surgery, Fractures, Bone diagnostic imaging, Fracture Dislocation surgery, Fracture Dislocation diagnostic imaging, Pelvic Bones injuries, Pelvic Bones surgery, Joint Dislocations surgery, Joint Dislocations diagnostic imaging, Fracture Fixation, Internal methods, Fracture Fixation, Internal instrumentation, Robotic Surgical Procedures methods, Bone Screws, Sacroiliac Joint surgery, Sacroiliac Joint injuries, Sacroiliac Joint diagnostic imaging
- Abstract
Case: A 53-year-old man with bilateral sacroiliac (SI) fracture-dislocations underwent open reduction internal fixation with subsequent loss of fixation. Revision involved the placement of pelvic brim screws and robotic-assisted lumbopelvic fixation, resulting in minimal blood loss and soft-tissue injury. At 3-month follow-up, the patient had healed and was advanced to full weight-bearing status., Conclusion: Percutaneous SI screws and robotic-assisted spinopelvic fixation effectively managed bilateral SI fracture-dislocations, despite narrow osseous corridors, providing adequate stabilization while minimizing complications. The combination of these 2 techniques helped overcome anatomical limitations and reduced technical challenges, leading to a successful short-term outcome., Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C360)., (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
- Published
- 2024
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