extensive posterior pelvic approach

ABSTRACT

A modified posterior pelvic approach is described. It can be used for surgical management of complex posterior pelvic ring fractures. Through this approach open reduction can be performed for dislocation of the sacroiliac joint, fractures of posterior iliac wing and sacral fractures particularly for the bilateral injuries. Fixation by iliosacral screws and by transiliac plate is also possible. The authors used this approach in treating ten patients with type [C] vertically unstable posterior pelvic fractures. Manipulation, reduction and fixation of those fractures were relatively easy. Little skin and soft tissue morbidity was encountered. The authors feel that this approach is more extensile than the current approaches that deal with most posterior pelvic ring fractures particularly the complex ones