case_images: PMC9609804_01
case_images: Plain radiographs (a) and computed tomography showing fractures of the sacrum (b) and pubis (c). The patient was diagnosed with a fragility fracture of the pelvis (Rommens classification: Type IIc).
case_images: SNI-13-421-g001.jpg
case_images: PMC9609804_01_SNI-13-421-g001.jpg
case_images: F1
case_images: Plain radiographs and computed tomography (CT) showed fractures of the sacrum and pubis [Figure 1].
case_images: Plain radiographs (a) and computed tomography (b,c) 2 weeks after discharge, showing additional fractures of the right subpubic branch and right sacrum (Rommens classification: Type IVb).
case_images: SNI-13-421-g002.jpg
case_images: PMC9609804_01_SNI-13-421-g002.jpg
case_images: F2
case_images: Type IVb), and surgical treatment was planned [Figure 2]. To obtain strong fixation with minimal invasion, we performed a posterior fixation using E.Spine Tanit (Euros, France) compact posterior thoracolumbar instrumentation, an implant that combines an IS screw with a sacral anchoring system.
case_images: Postoperative scar.
case_images: SNI-13-421-g003.jpg
case_images: PMC9609804_01_SNI-13-421-g003.jpg
case_images: F3
case_images: With the patient positioned supine, the Wiltse approach was used for each side, exposing the lumbosacral joint [Figure 3].
case_images: Representative images for the within ring fixation technique using E.Spine Tanit. An Intraoperative image(a) and postoperative radiographs(b,c).
case_images: SNI-13-421-g004.jpg
case_images: PMC9609804_01_SNI-13-421-g004.jpg
case_images: F4
case_images: Finally, the sacral connector and iliac screw rods were connected [Figure 4].