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

<div>Case 1. A 25-year-old man who was injured from a fall from a height underwent S1 and S2 TSTI partial 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: 33°; fracture translation: 10 mm). (c) Postoperative anteroposterior radiograph of the pelvis is shown. (d) Postoperative CT scan of the sacrum in the sagittal plane is shown (postoperative sacral kyphotic angle: 17°; fracture translation: 2 mm). (e) Final follow-up CT scan of the sacrum in the sagittal plane is shown. Slight reduction loss was observed.</div>

Advances in Orthopedics

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Figure 3: Closed Reduction in a “Hyperextended Supine Position” with Percutaneous Transsacral-Transiliac and Iliosacral Screw Fixation for Denis Zone III Sacral Fractures 

Figure 3 | Closed Reduction in a “Hyperextended Supine Position” with Percutaneous Transsacral-Transiliac and Iliosacral Screw Fixation for Denis Zone III Sacral Fractures 