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Front Surg. 2019 Jul 19;6:42. doi: 10.3389/fsurg.2019.00042. eCollection 2019.

Spinopelvic Fixation Supplemented With Gullwing Plate for Multiplanar Sacral Fracture With Spinopelvic Dissociation: A Case Series With Short Term Follow Up.

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Department of Orthopedic, Hospital Tuanku Ja'afar, Seremban, Malaysia.
Department of Orthopedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Hospital Canselor, Kuala Lumpur, Malaysia.
Department of Orthopedic, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Department of Orthopedic, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia.


We describe a series of three patients who sustained multiplanar sacral fracture with spinopelvic dissociation treated with bilateral triangle osteosynthesis supplemented with a gullwing plate. Multiplanar sacral fracture causes the sacrum to divide into two parts which in severe cases, fracture displacement results in neurological injury. Spinopelvic fixation supplemented with a gullwing plate surgical treatment is still a viable option with an acceptable outcome. The average waiting time prior to surgery is 3 weeks.


dissociation; fixation; gullwing plate; multiplanar; spinopelvic

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