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Re: Sacral Non-Union
Chip Routt 25 Август 2007, 21:08
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Thank you...it might help to remove the disengaged and other iliosacral screws then insert longer lag screws into the upper sacral segment and if anatomically feasible into the second sacral segment as well.
You could do it percutaneously and even add an electrical stimulation device if that seems reasonable.
At this point, I'd ignore the right pubic root issue if asymptomatic.
If simple measures such as those above fail, then you could remove it all, take down the sacral fracture site, refix with alternate techniques, and bone graft.
Chip
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