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Superior Gluteal Artery Injury during Percutaneous Iliosacral Screw Fixation: A Case Report

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초록

Percutaneous iliosacral screw fixation is commonly practiced to treat unstable posterior pelvic ring injuries. The number of reported cases of iatrogenic complications is increasing. We present a case of superior gluteal artery injury during bilateral percutaneous iliosacral screw fixation in a patient with sacral fracture of spino-pelvic dissociation. This complication was managed by arterial embolization. We discussed the cause, prevention and treatment of arterial injury along with a review of literature.

Abstract

Percutaneous iliosacral screw fixation is commonly practiced to treat unstable posterior pelvic ring injuries. The number of reported cases of iatrogenic complications is increasing. We present a case of superior gluteal artery injury during bilateral percutaneous iliosacral screw fixation in a patient with sacral fracture of spino-pelvic dissociation. This complication was managed by arterial embolization. We discussed the cause, prevention and treatment of arterial injury along with a review of literature.

참고문헌 (9)

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  8. Stephen DJ, "Pseudoaneurysm of the superior gluteal arterial system : an unusual cause of pain after a pelvic fracture", J Trauma, 43, pp.146~149 (1997)
  9. Maled I, "Pseudoaneurysm of the superior gluteal artery during iliosacral screw fixation", Acta Orthop Belg, 73, pp.544~547 (2007)

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