Trans-ilial brace fixation was used as the primary repair of two sacral fractures
and in conjunction with a trans-sacral pin for the repair of a bilateral sacro-iliac
luxation and a sacral fracture with contralateral sacroiliac luxation. Trans-ilial
brace fixation was also used as a secondary fixation for two unilateral sacro-iliac
luxations and a bilateral sacro-iliac luxation. Follow-up radiographic parameters
were compared to post-operative radiographic parameters to assess the stability of
the fixation and the progression of healing. There was not any morbidity associated
with the trans-ilial brace technique and all of the cases healed uneventfully. Indications
for the use of the trans-ilial brace include sacro-iliac injuries where an additional
means of stability may be indicated, comminuted sacral fractures in which the landmarks
for lag screw fixation are obscured and bilateral sacro-iliac injuries with the concurrent
use of a trans-sacral pin.
Keywords
Trans-ilial brace - sacral fracture - sacro-iliac luxation