International Orthopaedics

, Volume 43, Issue 1, pp 177–185 | Cite as

Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience

  • Francesco Liuzza
  • Noemi Silluzio
  • Michela Florio
  • Omar El Ezzo
  • Gianpiero Cazzato
  • Gianluca Ciolli
  • Carlo Perisano
  • Giulio Maccauro
Review Article



The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality.


The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization.


The stabilization of these injuries can be difficult even in a patient with adequate bone stock and concomitant medical comorbidities. The posterior-ring tension-band metallic plate and sacroiliac joint screw are two commonly used methods for posterior internal fixation of the pelvis.


In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.


Sacral fractures Fixation fractures Danis’classification Pelvic ring posterior Sacral plate Transiliac-transsacral screw Review Clinical outcame Comparision treatment 


Compliance with ethical standards

Institutional review board statement

The study was reviewed and approved by the internal ethics committee of orthopedics and traumatology department of Policlinico Gemelli Hospital.

Informed consent statement

All involved persons gave their verbal informed consent prior to being included in the analysis.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  1. 1.Fondazione Policlinico Universitario A. Gemelli IRCCSRomeItaly
  2. 2.Università degli Studi di Messina, Policlinico Universitario G. MartinoMessinaItaly
  3. 3.Orthopedic and Traumatology InstituteUniversity Hospital G. MartinoMessinaItaly
  4. 4.Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro CuoreRomeItaly

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