Case Studies
Sacral Fracture with Bilateral SI Joint Involvement Following Low-Energy Ground-Level Falls
“Pelvic insufficiency fractures will be one of the great challenges for our generation. Traditional thinking, care pathways, and surgical technology will not be the solution. We need innovation in how we diagnose and treat these injuries, and we need innovative technology in the operating room designed specifically for these patients.”
Brian Cunningham MD
- Provider
- Brian Cunningham, MD*
- Speciality
- Assistant Professor, Department of Orthopaedic Surgery Health Partners Institute, Minneapolis, MN
- Facility
- Health Partners Institute, Minneapolis, MN
- Bio
-
Fellowship: University of California (San Francisco) Medical Center
Residency: Banner Good Samaritan Medical Cente... More
Case Details
- Condition
- Pelvic Trauma
- Product(s)
-
iFuse TORQ TNT
- Patient
- 77 y/o female
Sacral Fracture with Bilateral SI Joint Involvement Following Low-Energy Ground-Level Falls
Patient Case History:
A 77-year-old female with a history of osteoporosis, COPD, tobacco use, peripheral vascular disease, and scoliosis presented with progressive difficulty with weight-bearing over the past four weeks.
- Recently, she became unable to bear weight independently.
- Attempts at assisted ambulation with physical therapy were unsuccessful.
- Physical examination revealed tenderness to palpation over the right posterior iliac crest and bilateral sacral regions, with no tenderness noted over the midline lumbar or thoracic spine.
Cunningham 2a
Cunningham 2a
Surgical Procedure:
Sacral fracture fixation and bilateral SI joint fusion was performed.
- An iFuse TORQ TNT implant was placed in the S2 corridor, crossing the sacral fracture into the S2 body and extending through the contralateral SI joint, addressing the left sacral fracture (Figs. 6-8).
- A second iFuse TORQ TNT implant was placed across the R SI joint at the S1 corridor, extending across the sacral fracture through the S1 body and advancing through the contralateral SI joint and ilium for additional fracture fixation and bilateral SI joint fusion (placement of multiple fusion implants).
Cunningham 2b
Cunningham 2b
Cunningham 2c
Cunningham 2c
Cunningham 2d
Cunningham 2d
Healthcare professionals should refer to the Instructions For Use for indications, contraindications, warnings, and precautions at https://ous.si-bone.com/label.
There are potential risks associated with iFuse procedures. They may not be appropriate for all patients and all patients may not benefit.
For information about the risks, visit https://ous.si-bone.com/risks.