Treatment of an Impending Pathologic Sacral Fracture with a Novel Iliosacral Fusion Construct: A Case Report

Robert C. Jacobs; David W. Polly

doi:10.2106/JBJS.CC.23.00395

Treatment of an Impending Pathologic Sacral Fracture with a Novel Iliosacral Fusion Construct: A Case Report

Robert C. Jacobs, David W. Polly

Orthopaedic Surgery

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Abstract

Case:A 49-year-old woman presented with left leg radiculopathy and posterior pelvic pain. Subsequent evaluation demonstrated metastatic multiple myeloma with an impending left S1 sacral fracture. Immediate posterior pelvic ring stabilization was recommended to prevent fracture and disruption of her oncologic recovery. This was performed percutaneously with computer-assisted navigation using a novel cannulated screw design.Conclusion:The patient was treated with prophylactic percutaneous posterior pelvic ring fixation with a novel cannulated screw design that provided a durable construct for immediate weight-bearing. The fixation prevented a pathologic fracture and allowed immediate return to activity.

Original language	English (US)
Article number	395
Journal	JBJS case connector
Volume	14
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.23.00395
State	Published - Jan 25 2024

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© 2024 Lippincott Williams and Wilkins. All rights reserved.

Keywords

fracture
impending pathologic fracture
multiple myeloma
pathologic fracture
sacral fracture
sacroiliac joint
sacroiliac joint
sacroiliac joint fusion
SIJ
SIJ fusion, sacroiliac
TORQ®
TORQ® screw

PubMed: MeSH publication types

Case Reports
Journal Article

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10.2106/JBJS.CC.23.00395

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Treatment of an Impending Pathologic Sacral Fracture with a Novel Iliosacral Fusion Construct: A Case Report

Abstract

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