Case Studies
A Novel Approach to Pelvic Fracture Fixation
“iFuse TORQ facilitates robust fixation, even in in the setting of notable osteopenia and instability”
*Consultant for SI-BONE, Inc.
- Provider
- Malcolm R. DeBaun, M.D.*
- Speciality
- Director of Orthopaedic Trauma Duke University
- Facility
- Duke University Hospital
- Bio
-
Fellowship: Orthopaedic Trauma, Harborview Medical Center, Seattle, WA Residency: Orthopaedic Surgery, Stanford University, CA Medical School: Stanford University School of Medicine, CA Malcolm DeBaun, MD is an orthopaedic traumatologist and one of the newest additions to Duke Orthopaedic Surgery bringing a focus on musculoskeletal innovation and surgical tactics for pelvis/acetabulum, periarticular and revision fracture surgery.
Lumbopelvic Instability after Chronic Sacral U- Fracture
Patient History:
- fall 3 months prior
- Managed non-operatively by outside hospital
- 10/10 pain; difficulty ambulating x 3 mo
- MRI done and self-referral to IR for sacroplasty
- Referred to ortho by IR for pelvic fixation
Diagnosis:
- Chronic Sacral U-type fracture with kyphotic deformity
- Anterior ring disruption
- Osteopenia
Surgical treatment:
- Bilateral sacral fracture fixation with iFuse TORQ®
PostOp:1,2
- Tolerated procedure well
- Immediate weight bearing as tolerated
- Ambulated 150 feet POD 1 and discharged home
- Pain improvement and healed fracture at 2 months
- No progression of kyphotic deformity
1Patient results may vary
2Pain and disability improvement consistent with early SAFFRON trial (NCT05426356) outcomes. SI-BONE data on file.
Healthcare professionals should refer to the Instructions For Use for indications, contraindications, warnings, and precautions at https://si-bone.com/label.
There are potential risks associated with iFuse procedures. They may not be appropriate for all patients and all patients may not benefit.
For information about the risks, visit https://si-bone.com/risks.