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

Figure 1

Closed reduction procedure in “hyperextended” supine position with manipulation. (a) A hand-made reduction pillow is shown. (b) The intraoperative position and “hyperextended” supine position is shown. (c) The manipulation maneuver is shown. (d) Intraoperative images are shown. The left image was taken before reduction maneuver and the right image was taken after the maneuvers. If good reduction was obtained, screw insertion was done in the same position. (e) Intraoperative fluoroscopic images pre- and postreduction maneuver. In this case, good reduction was obtained.

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