Closed Reduction in a “Hyperextended Supine Position” with Percutaneous Transsacral-Transiliac and Iliosacral Screw Fixation for Denis Zone III Sacral Fractures

Figure 4

Case 9. An 18-year-old man who was injured from a fall from a height underwent S1 and S2 TSTI full threaded screw fixation for a Roy-Camille type 2 U-shaped transverse sacral fracture. (a) Preoperative 3-dimensional CT reconstruction of the pelvis is shown. (b) Preoperative CT scan of the sacrum in the sagittal plane is shown (preoperative sacral kyphotic angle: 89°; fracture translation: 8 mm). (c) Postoperative anteroposterior radiograph of the pelvis is shown. (d) Postoperative CT scan of the sacrum in the sagittal plane is shown (preoperative sacral kyphotic angle: 32°; fracture translation: 3 mm). (e) Final follow-up CT scan of the sacrum in the sagittal plane is shown. Good reduction quality was maintained.