case_images: PMC6659408_01
case_images: (A) Pelvis 3D reconstruction of an 18-year-old with unstable U-shaped multiplanar sacral fractures with spinopelvic dissociation. (B) Pelvic 3D reconstruction of the second patient with a U-shaped multiplanar sacral fracture with spinopelvic dissociation, and left iliac crest open fracture. (C) 3D reconstruction image of the pelvis depicting the injury pattern, a U-shaped multiplanar sacral fracture.
case_images: fsurg-06-00042-g0001.jpg
case_images: PMC6659408_03_fsurg-06-00042-g0001.jpg
case_images: F1
case_images: The patient underwent a CT scan of the pelvis (Figure 1C) when the severe lower back pain persists despite adequate maximal analgesia prescribed.
case_images: Final spinopelvic fixation constructs. Two pair of pedicle screws in L4 and L5 vertebrae, a pair of iliac screws, supplemented with a gull-wing plate (blue arrow).
case_images: fsurg-06-00042-g0002.jpg
case_images: PMC6659408_01_fsurg-06-00042-g0002.jpg
case_images: F2
case_images: A gullwing plate was fashioned from a straight 3.5 mm reconstruction plate and implanted to supplement the final construct (Figure 2).
case_images: PMC6659408_02
case_images: (A) Pelvis 3D reconstruction of an 18-year-old with unstable U-shaped multiplanar sacral fractures with spinopelvic dissociation. (B) Pelvic 3D reconstruction of the second patient with a U-shaped multiplanar sacral fracture with spinopelvic dissociation, and left iliac crest open fracture. (C) 3D reconstruction image of the pelvis depicting the injury pattern, a U-shaped multiplanar sacral fracture.
case_images: fsurg-06-00042-g0001.jpg
case_images: PMC6659408_03_fsurg-06-00042-g0001.jpg
case_images: F1
case_images: The patient underwent a CT scan of the pelvis (Figure 1C) when the severe lower back pain persists despite adequate maximal analgesia prescribed.
case_images: PMC6659408_03
case_images: (A) Pelvis 3D reconstruction of an 18-year-old with unstable U-shaped multiplanar sacral fractures with spinopelvic dissociation. (B) Pelvic 3D reconstruction of the second patient with a U-shaped multiplanar sacral fracture with spinopelvic dissociation, and left iliac crest open fracture. (C) 3D reconstruction image of the pelvis depicting the injury pattern, a U-shaped multiplanar sacral fracture.
case_images: fsurg-06-00042-g0001.jpg
case_images: PMC6659408_03_fsurg-06-00042-g0001.jpg
case_images: F1
case_images: The patient underwent a CT scan of the pelvis (Figure 1C) when the severe lower back pain persists despite adequate maximal analgesia prescribed.
case_images: Pelvis AP radiograph of the patient with a BMI of 50 showing unclear findings of sacral bone pathology.
case_images: fsurg-06-00042-g0003.jpg
case_images: PMC6659408_03_fsurg-06-00042-g0003.jpg
case_images: F3
case_images: In the anterior ring, he suffered a fracture of the right superior and inferior pubic rami with pubic symphysis separation of <2 cm (Figure 3).
case_images: Spinopelvic fixation construct of the third patient. A similar construct was implanted in all 3 patients.
case_images: fsurg-06-00042-g0004.jpg
case_images: PMC6659408_03_fsurg-06-00042-g0004.jpg
case_images: F4
case_images: He had the same fixation construct as the other patients (Figure 4), which was done 2 weeks following injury.