Innovative Crab-Shaped Spinopelvic Fixation with Offset Connectors for Managing an H-Shaped Sacral Fracture Featuring a Floating Roy-Camille Type 3 Transverse Component: A Case Study - Takeaways - MDSpire

Innovative Crab-Shaped Spinopelvic Fixation with Offset Connectors for Managing an H-Shaped Sacral Fracture Featuring a Floating Roy-Camille Type 3 Transverse Component: A Case Study

  • By

  • Akinori Okuda

  • Keisuke Masuda

  • Hironobu Konishi

  • Masaki Ikejiri

  • Kenichi Nakano

  • Naoki Maegawa

  • Hideki Shigematsu

  • Hidetada Fukushima

  • Kenji Kawamura

  • March 27, 2026

  • 0 min

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  • 1

    Pelvic ring fractures can lead to severe complications, including hemorrhage and neurological deficits, necessitating prompt surgical intervention.

  • 2

    The case study describes a 49-year-old woman with an unstable H-shaped sacral fracture and multiple injuries following a fall from height.

  • 3

    Surgical management involved decompression, a Kapandji-like maneuver, and innovative crab-shaped fixation using offset connectors for stabilization.

  • 4

    Minimally invasive crab-shaped fixation effectively corrected the displacement of the sacral fragments while minimizing the risk of complications.

  • 5

    Postoperative imaging confirmed satisfactory reduction of the fractures, allowing for early mobilization and rehabilitation of the patient.

Original Source(s)

Innovative Crab-Shaped Spinopelvic Fixation with Offset Connectors for Managing an H-Shaped Sacral Fracture Featuring a Floating Roy-Camille Type 3 Transverse Component: A Case Study

  • by Akinori Okuda, Keisuke Masuda, Hironobu Konishi, Masaki Ikejiri, Kenichi Nakano, Naoki Maegawa, Hideki Shigematsu, Hidetada Fukushima, Kenji Kawamura

  • March 27, 2026

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