Work

Bilateral ilio-sacral screw fixation of sacroiliac joint using a single guidewire: a technical case report

Year: 2026

Type: article

Abstract: Introduction: Bilateral sacroiliac joint (SIJ) disruption is an uncommon, unstable pelvic injury with high morbidity. Percutaneous SI screw fixation is a well-established treatment but typically requires separate guidewire passes, increasing operative time and radiation exposure. Case and Technique: We report a 22-year-old male with bilateral pubic rami fractures and bilateral SIJ disruptions. After reduction and fixation of anterior ring, a single guidewire was passed from the left to the right SIJ, and bilateral screws were inserted over it under fluoroscopic guidance. Results: Bilateral fixation was successfully achieved with correct screw placement, effective compression, and intact L5 nerve function. This approach reduced operative time and fluoroscopic exposure. Conclusion: Single-guidewire bilateral SIJ fixation is a simple, effective technique that decreases operative time and radiation exposure while ensuring safe, stable fixation. Careful fluoroscopic monitoring is essential, and the method is feasible in both obese and nonobese patients.

Source: International Journal of Surgery Case Reports

DOI: 10.1097/rc9.0000000000000194

Authors: Nitesh Raj Pandey, Sulabh Kumar Shrestha, Sanjeev Acharya, Bibek Banskota

Institution: Baidya and Banskota Hospital

Language: English

Topic: Pelvic and Acetabular Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090