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Hip Pelvis. 2015 Mar;27(1):57-62. doi: 10.5371/hp.2015.27.1.57. Epub 2015 Mar 31.

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

Hip & pelvis

Suk Kang, Phil Hyun Chung, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Gyeong Soo Eum

Affiliations

  1. Department of Orthopaedic Surgery, Dongguk University College of Medicine, Gyeongju, Korea.

PMID: 27536604 PMCID: PMC4972622 DOI: 10.5371/hp.2015.27.1.57

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.

Keywords: Arterial embolization; Pelvic fracture; Percutaneous iliosacral screw fixation; Superior gluteal artery injury

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