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Bilateral sacroiliac dislocation with intrapelvic intrusion of the lumbosacral spine

A case report

Summary

A patient sustained bilateral sacroiliac dislocation in which the proximal part of the sacrum was displaced 10 cm anteriorly and 6 cm inferiorly into the pelvis. Stabilisation was initially obtained with an external fixator. Operation was carried out later: reduction was achieved by overhead skeletal traction using sublaminar wires; two screws were inserted through each sacroiliac joint and the two fragments of the sacrum were wired in place.

Resumé

Nous avons observé un cas de fractureluxation bilatérale sacro-iliaque avec atteinte de la surface articulaire du sacrum et protrusion intrapelvienne de la colonne lombo-sacrée. Dans ce cas la portion proximale du sacrum était déplacée de 10 cm vers l'avant et de 6 cm vers le bas. La fracture fut d'abord stabilisée grâce à un fixateur externe d'Hoffmann et ensuite opérée par voie postérieure pour réduire la luxation des deux articulations sacroiliaques et la fracture du sacrum. La réduction fut obtenue par traction au zénith de toute la colonne lombo-sacrée au moyen de fils sous-laminaires. L'ostéosynthèse fut réalisée par deux vis traversant chaque articulation sacroiliaque et des fils métalliques maintenant les deux fragments du sacrum.

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Author information

Correspondence to A. Garcia.

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Garcia, A., del Castillo, J.R., Martinez, J. et al. Bilateral sacroiliac dislocation with intrapelvic intrusion of the lumbosacral spine. International Orthopaedics 18, 177–179 (1994). https://doi.org/10.1007/BF00192475

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Keywords

  • Public Health
  • Proximal Part
  • External Fixator
  • Sacroiliac Joint
  • Lumbosacral Spine