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Journal of Korean Neurosurgical Society > Volume 42(6); 2007 > Article
Journal of Korean Neurosurgical Society 2007;42(6): 495-498.
doi: https://doi.org/10.3340/jkns.2007.42.6.495
Lumbo-sacro-pelvic Fixation Using Iliac Screws for the Complex Lumbo-sacral Fractures.
Woo Tack Rhee, Seung Hoon You, Yeon Gyu Jang, Sang Youl Lee
Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea. seasons@gnah.co.kr
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.
Key Words: Iliac screw; U-shped sacral fracture; Lumbo-sacro-pelvic fixation
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