Clinical Data

Case study using iFuse TORQ (Arthur - Injury 2023)

Surgical Treatment of Sacral Nonunions

Arthur RY, Johnson JP.
Injury. 2023 Jul;54(7):110775. [Epub 2023 May 2.]
DOI: 10.1016/j.injury.2023.05.006. PMID: 37179204.


Sacral fractures are complex injuries that follow a bimodal distribution, typically involving acute high energy trauma in young adults and low energy trauma in older adults (> 65 years old). Nonunion is a rare but debilitating potential complication of undiagnosed or improperly managed sacral fractures. Various surgical techniques, including open reduction and internal fixation, sacroplasty, and percutaneous screw fixation, have been used to manage these fracture nonunions. In addition to reviewing the initial management of sacral fractures and the risk factors for fracture nonunion, this article describes techniques, specific cases and outcomes of these treatment strategies.

Keywords: Nonunion; Open reduction and internal fixation; Percutaneous screw fixation; Sacral fracture; Sacroplasty.

Author Information

  • Arthur RY, Johnson JP - Department of Orthopaedic Surgery, University of Alabama at Birmingham, 510 20th St South, Faculty Office Tower 901, Birmingham, AL 35294, USA.

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