Duke University School of Medicine, Durham, North Carolina.
Department of Orthopaedics, Duke University, Durham, North Carolina.
JBJS Case Connect. 2024 Oct 11;14(4). doi: e23.00428. eCollection 2024 Oct 1.
A 53-year-old man with bilateral sacroiliac (SI) fracture-dislocations underwent open reduction internal fixation with subsequent loss of fixation. Revision involved the placement of pelvic brim screws and robotic-assisted lumbopelvic fixation, resulting in minimal blood loss and soft-tissue injury. At 3-month follow-up, the patient had healed and was advanced to full weight-bearing status.
Percutaneous SI screws and robotic-assisted spinopelvic fixation effectively managed bilateral SI fracture-dislocations, despite narrow osseous corridors, providing adequate stabilization while minimizing complications. The combination of these 2 techniques helped overcome anatomical limitations and reduced technical challenges, leading to a successful short-term outcome.
一位 53 岁男性双侧骶髂（SI）骨折脱位，行切开复位内固定后固定丢失。翻修涉及骨盆边缘螺钉和机器人辅助腰骶固定，术中出血量少，软组织损伤小。随访 3 个月时，患者已愈合并开始完全负重。
尽管存在狭窄的骨通道，经皮骶髂螺钉和机器人辅助脊柱骨盆固定有效地治疗了双侧骶髂骨折脱位，提供了充分的稳定性，同时最大限度地减少了并发症。这两种技术的结合有助于克服解剖限制，降低技术难度，从而获得成功的短期结果。
