[Ortho] Pelvic and acetabular fracture

[Huseyin Demirors]

I would like to ask what kind of stabilization would you prefer for this particular sacral fracture (bilateral transforaminal)?
 
Without a pedicular screw (L5 or S1) its impossible to stabilize the central sacral fragment.  Tension band plating or other plate fixations wont work. Transacral long screws may stabilize but there is no biomechanical analyses of this trans sacral IS screw fixation for bilateral fracture models as far as I know .
 
Huseyin Demirors MD
Baskent University Ankara TURKEY