PMC6659408_01
(A) Pelvis 3D reconstruction of an 18-year-old with unstable U-shaped multiplanar sacral fractures with spinopelvic dissociation. (B) Pelvic 3D reconstruction of the second patient with a U-shaped multiplanar sacral fracture with spinopelvic dissociation, and left iliac crest open fracture. (C) 3D reconstruction image of the pelvis depicting the injury pattern, a U-shaped multiplanar sacral fracture.
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PMC6659408_03_fsurg-06-00042-g0001.jpg
F1
The patient underwent a CT scan of the pelvis (Figure 1C) when the severe lower back pain persists despite adequate maximal analgesia prescribed.
Final spinopelvic fixation constructs. Two pair of pedicle screws in L4 and L5 vertebrae, a pair of iliac screws, supplemented with a gull-wing plate (blue arrow).
fsurg-06-00042-g0002.jpg
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F2
A gullwing plate was fashioned from a straight 3.5 mm reconstruction plate and implanted to supplement the final construct (Figure 2).
PMC6659408_02
(A) Pelvis 3D reconstruction of an 18-year-old with unstable U-shaped multiplanar sacral fractures with spinopelvic dissociation. (B) Pelvic 3D reconstruction of the second patient with a U-shaped multiplanar sacral fracture with spinopelvic dissociation, and left iliac crest open fracture. (C) 3D reconstruction image of the pelvis depicting the injury pattern, a U-shaped multiplanar sacral fracture.
fsurg-06-00042-g0001.jpg
PMC6659408_03_fsurg-06-00042-g0001.jpg
F1
The patient underwent a CT scan of the pelvis (Figure 1C) when the severe lower back pain persists despite adequate maximal analgesia prescribed.
PMC6659408_03
(A) Pelvis 3D reconstruction of an 18-year-old with unstable U-shaped multiplanar sacral fractures with spinopelvic dissociation. (B) Pelvic 3D reconstruction of the second patient with a U-shaped multiplanar sacral fracture with spinopelvic dissociation, and left iliac crest open fracture. (C) 3D reconstruction image of the pelvis depicting the injury pattern, a U-shaped multiplanar sacral fracture.
fsurg-06-00042-g0001.jpg
PMC6659408_03_fsurg-06-00042-g0001.jpg
F1
The patient underwent a CT scan of the pelvis (Figure 1C) when the severe lower back pain persists despite adequate maximal analgesia prescribed.
Pelvis AP radiograph of the patient with a BMI of 50 showing unclear findings of sacral bone pathology.
fsurg-06-00042-g0003.jpg
PMC6659408_03_fsurg-06-00042-g0003.jpg
F3
In the anterior ring, he suffered a fracture of the right superior and inferior pubic rami with pubic symphysis separation of <2 cm (Figure 3).
Spinopelvic fixation construct of the third patient. A similar construct was implanted in all 3 patients.
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PMC6659408_03_fsurg-06-00042-g0004.jpg
F4
He had the same fixation construct as the other patients (Figure 4), which was done 2 weeks following injury.