Spinopelvic fixation with retention of external fixation in a lateral position for unstable pelvic fracture

Norio Yamamoto, Hisanori Ikuma, Tomoyuki Noda, Tomoo Inoue, Keisuke Kawasaki, Toshifumi Ozaki

Research output: Contribution to journalArticlepeer-review

Abstract

Anterior external fixation (EF), as the primary treatment for unstable pelvic fractures, is performed with patients in the supine position. In most cases, however, definitive surgery for posterior fixation is performed first in the prone position without EF. We report the case of a patient with unilateral and vertically unstable pelvic fracture whom we had treated with minimally invasive spinopelvic fixation, with retention of the anterior EF in a lateral position. Reduction of the residual displacement was performed with percutaneous spinal instrumentation, and acceptable reduction was achieved. At the 13-month follow-up, the functional outcome, calculated using the Majeed Score, was 87 points. The plain radiograph showed good bone union, except for the right superior pubic ramus. The radiological outcome, measured using the Matta rating, was excellent. Thus, retaining the EF facilitates safe and accurate reduction without major surgical complications and may offer surgeons an additional management option for such fractures.

Original languageEnglish
Article number103008
JournalOrthopaedics and Traumatology: Surgery and Research
Volume107
Issue number6
DOIs
Publication statusPublished - Oct 2021
Externally publishedYes

Keywords

  • External fixation
  • Lateral position
  • Minimally invasive surgery
  • Pelvic fracture
  • Spinopelvic fixation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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