使用骨盆边缘螺钉和机器人辅助腰椎骨盆固定术对双侧骶髂骨骨折-脱位进行复位和固定：病例报告。

Q4 Medicine JBJS case connector Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.23.00428

Joshua Helmkamp, Antoinette J Charles, Troy Q Tabarestani, Matthew Brown, Alexandra Paul, Muhammad M Abd-El-Barr, Malcolm R DeBaun

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引用次数: 0

摘要

病例一名 53 岁男子因双侧骶髂骨（SI）骨折脱位接受了切开复位内固定术，但随后出现固定缺失。翻修手术包括骨盆边缘螺钉置入和机器人辅助腰椎固定，失血量和软组织损伤都很小。在3个月的随访中，患者已痊愈并可完全负重：结论：尽管骨走廊狭窄，经皮SI螺钉和机器人辅助脊柱骨盆固定术仍能有效治疗双侧SI骨折脱位，在提供足够稳定的同时将并发症降至最低。这两种技术的结合有助于克服解剖学限制，减少技术难度，从而获得成功的短期疗效。

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Reduction and Fixation of Bilateral Sacroiliac Fracture-Dislocations with Pelvic Brim Screws and Robotic-Assisted Lumbopelvic Fixation: A Case Report.

Case: A 53-year-old man with bilateral sacroiliac (SI) fracture-dislocations underwent open reduction internal fixation with subsequent loss of fixation. Revision involved the placement of pelvic brim screws and robotic-assisted lumbopelvic fixation, resulting in minimal blood loss and soft-tissue injury. At 3-month follow-up, the patient had healed and was advanced to full weight-bearing status.

Conclusion: Percutaneous SI screws and robotic-assisted spinopelvic fixation effectively managed bilateral SI fracture-dislocations, despite narrow osseous corridors, providing adequate stabilization while minimizing complications. The combination of these 2 techniques helped overcome anatomical limitations and reduced technical challenges, leading to a successful short-term outcome.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.