- See: Sacro-Iliac Fracture Dislocations
- Management:
- consider direct frx fixation from iliac crest into sacrum;
- under x-ray control, long, 6.5-mm cannulated lag screws transfix the frx from iliac wing to body of S-1;
- because of risk to neural structures, K guide wire usually is inserted, and its position is confirmed before the screw is placed;
- alternative approach with less potential for Neurologic Injury is to place fixation device between the two posterior iliac crests;
- large diameter threaded sacral bars or double cobra plates are commonly employed.
- Incision:
- incision is made parallel to the crest, allowing access to external and internal surfaces of the iliac wing.
- depending on type of frx, long lag screws can be placed between two tables of the ilium, spanning the fracture site, or screws can be supplemented by plates