ISSN:
1432-0932
Keywords:
Key words Sacrum
;
Pathological fractures
;
Internal stabilisation
;
Galveston technique
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Mechanical stabilisation of pathological fractures of the sacrum is technically challenging. There is often inadequate purchase in the sacrum, and stabilisation has to be achieved between the lumbar vertebrae and ilium. We present a simplification of the Galveston technique. We treated a total of six patients with this technique, four for metastatic disease and two for primary tumours. Our technique consists of the formation of a proximal stable construct using ISOLA pedicle screws linked distally using a modular system of connectors to threaded iliac bolts with cross linkages. Neurological decompression and fusion was performed as appropriate. The benefits of this method are: ease of access to the ilium, a solid purchase to the ilium, less rod contouring and shorter operating time. We have had no operative complications from this procedure. All patients were discharged home mobile, with a reduced opiate requirement.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s005860000172
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