Executive Editor: Peter Trafton

Authors: Rahul Banerjee, Peter Brink, Matej Cimerman, Tim Pohlemann, Matevz Tomazevic

Pelvic ring

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Anterior to iliac wing/SI joint

The anterior approach to the iliac wing and the sacroiliac joint is useful for surgical exposure to manage:

  • Sacroiliac joint dislocations
  • Fractures of the ilium, even

Anterior to pubic symphysis

The surgical approach to the anterior part of the pelvic ring is useful for:

  • Pubic symphysis disruption/diastasis
  • Fractures of the anterior pelvic ring including superior pubic rami

Modified stoppa approach

This approach to the anterior intrapelvic region allows visualization of:

  • The entire symphysis
  • Both pubic bodies
  • The complete superior pubic ramus

Posterior to sacrum

The posterior approach to the sacrum is used to expose the posterior surface of the sacrum as well as the posterior aspect of both SI joints, and adjacent posterior ilium.

Posterior to the SI joint

The posterior approach to the sacroiliac joint uses and interval between vital anatomic structures.

It provides access to the:

  • posterior ilium
  • sacroiliac joint
  • posterior surface of the sacrum

v1.0 2015-12-10