“Y” Shaped Sacral Fragility Fracture Treatment with the Curvafix IM System - Case Study

Oct. 18, 2022- By: Joshua L. Gary

CASE PRESENTATION
A 68-year-old female with some dysmorphism and mild osteoporosis had a fall in the shower, resulting in a Y-shaped sacral fracture and non-displaced fractures of the superior and inferior pubic ramus.

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CASE PLANNING
Fixation in S1 was required because S2 was distal to the transverse component of the sacral fracture.

FIXATION
A standard 7.3-mm screw was inserted at the left hemipelvis.Then. a CurvaFix IM implant (140 mm in length) stabilized the Y-shaped sacral fracture across S1-2.

FOLLOW-UP
At 2 weeks, the patient was ambulatory with paracetamol for pain.
At 6 weeks, the patient was walking well with no pain.
At 3 months, the patient`s fractures were healed and the patient was asymptomatic.

KEY POINTS

Safe placement of transiliac-transsacral fixation in S1 of a dysmorphic pelvis would not have been possible with a straight screw.
A CurvaFix implant in S1 provided fixation without need for lumbopelvic stabilization with spinal implants.