Evidence map›Paper›PMID 42608903›Full record

ArticleActa orthopaedica et traumatologica turcica2026

S1-pedicle-based triangle fixation for U-type sacral fracture: a technical note.

Caner Günerbüyük, Ali Baş, Turgut Akgül, Cemil Cihad Gedik

Abstract readCase Reports
In one paragraph

Article in Acta orthopaedica et traumatologica turcica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Caner GünerbüyükDepartment of Orthopaedics and Traumatology, Koç University School of Medicine, Istanbul, Türkiye.
Ali BaşDepartment of Orthopaedics and Traumatology, Koç University School of Medicine, Istanbul, Türkiye.
Turgut AkgülDepartment of Orthopaedics and Traumatology, İstanbul University School of Medicine, Türkiye.
Cemil Cihad GedikDepartment of Orthopedic Surgery, University of Missouri Kansas City School of Medicine, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

U-type sacral fractures, accounting for 2%-5% of sacral fractures, typically result from falls. In this single-case technical note, a U-type sacral fracture from a motor vehicle crash treated with a novel fixation technique avoiding lumbosacral extension is reported. A 59-year old female with a Roy-Camille type-2 U-type sacral fracture and multiple long-bone injuries, without neurological deficit, was transferred to the university-affiliated center. Despite a severe sacral fracture, she exhibited no neurological deficits. Surgery began supine to address a distal femur fracture; then the patient was repositioned prone for sacral fixation under general anesthesia. A midline incision between S1 and S3 revealed the posterior elements. Under fluoroscopy, bilateral S1 pedicle screws were placed, followed by S3-iliac screws. Bilateral titanium rods were applied, and distraction reduced the sacral fracture. S2-iliac screws were added, functioning as iliosacral stabilization. A pre-contoured rod connected the bilateral S2 screws, and tightening achieved definitive fixation. Sagittal alignment of the sacrum was improved by nearly 10Åã, from 130Åã preoperative to 140Åã postoperative. The patient mobilized by sitting on the first postoperative day without loss of reduction. This method, suitable for U-type sacral fractures, avoids lumbopelvic fixation and fusion, but further studies are warranted. The technique described may provide an alternative to traditional lumbopelvic constructs.   Cite this article as: Günerbüyük C, Baş A, Akgül T, Gedik CC. S1-pedicle-based triangle fixation for U-type sacral fracture: a technical note. Acta Orthop Traumatol Turc. 2026; 60(4), 0369, doi: 10.5152/j.aott.2026.25369.

Indexed as

Fracture Fixation, InternalPedicle ScrewsSacrumSpinal FracturesAccidents, TrafficFemaleHumansIliumMiddle AgedTreatment Outcome

Identifiers

PMID42608903
PMCPMC13507784

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.