Open reduction and posterior instrumentation of Type 3 high transverse sacral fracture-dislocation

Technical note

Konstantinos A. StarantzisNottingham University Hospital, Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham, United Kingdom; and

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Babak MirzashahiImam University Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Eyal BehrbalkNottingham University Hospital, Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham, United Kingdom; and

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Mirmostafa SadatImam University Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Masood ShafafyNottingham University Hospital, Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham, United Kingdom; and

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The authors describe an open reduction and fixation through a posterior approach of Roy-Camille Type 3 transverse sacral fractures. This technique involves posterior staged reduction of the fracture applying distraction forces to restore the height, followed by posterior translation to restore sagittal alignment. Tips and pearls of this procedure, described for the first time in the literature, are also discussed in this report.

Abbreviation used in this paper:

TSF = transverse sacral fracture.
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