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4SI joint fracture dislocation: reduction and fixation

Once the reduction has been obtained, a reconstruction plate is applied to maintain the reduction. Care must be taken to avoid placing these screws into the SI joint. At times, based on the patient’s bone quality, one may have to place these screws into the SI body.

Additional screws can be placed between the internal and external tables to augment this fixation. This should be done only after careful planning as space in the iliac corridor must be left for the iliac screws required for the anterior column stabilization.