Surgical Discussion

Patient positioning:  Supine position on a radiolucent table to facilitate fluoroscopic imaging.

Anatomical surgical approach:  A mini open lateral window approach was utilized, involving a 3 cm incision over the lateral aspect of the pelvis. The approach allowed for direct access to the posterior column for screw placement. Fluoroscopic guidance was employed using anteroposterior, iliac oblique, and obturator oblique views to ensure accurate screw placement.

The surgeon noted the satisfaction of placing the antegrade posterior column screw, emphasizing the importance of using multiple fluoroscopic views and tactile feedback to navigate the screw corridor accurately. The screw corridors in the pelvis were highlighted as a critical aspect of orthopaedic trauma management.

Postoperative protocol:   Postoperative rehabilitation included early mobilization with weight-bearing as tolerated, under the guidance of physical therapy to restore function and strength.

Follow up:   Not specified.

Orthopaedic implants used:   Antegrade posterior column lag screws, antegrade anterior column screws, trans iliac trans sacral screw.