PMC5214600_01
Presenting pelvis injury X-ray.
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fig1
The pelvic ring injury consisted of a pubic symphysis disruption and a markedly displaced complete zone 3 sacral fracture from S1 through the coccyx (Figures 1 and 2).
Presenting injury CT scan axial cuts ((a) and (b)).
CRIOR2016-8586517.002.jpg
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fig2
The pelvic ring injury consisted of a pubic symphysis disruption and a markedly displaced complete zone 3 sacral fracture from S1 through the coccyx (Figures 1 and 2).
Pelvis (a) anteroposterior and (b) inlet views before using C-clamp and pelvis (c) anteroposterior and (d) inlet views after using C-clamp.
CRIOR2016-8586517.003.jpg
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fig3
On hospital day 4, postoperative radiographs demonstrated unacceptable residual displacement of his sacrum through the zone 3 fracture site (Figures 3(a) and 3(b)). Another transsacral screw was placed across the fracture utilizing one of the S2 guide wires (Figures 3(c) and 3(d)).