Bilateral sacroiliac joint fracture-dislocation requiring late coccygectomy: a case report

J Trauma. 1992 Nov;33(5):793-4.


Associated injuries often prevent aggressive management of bilateral sacroiliac fracture-dislocations, although excellent results have been reported with nonsurgical treatment. We report a case of bilateral sacroiliac joint fracture-dislocation in a patient with multiple injuries which was managed with the placement of an external fixation frame. This patient developed a prominent and painful coccyx and ultimately required a coccygectomy. The excellent final result demonstrates the therapeutic role of coccygectomy as a late treatment for this injury.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidents, Occupational
  • Adult
  • Coccyx / surgery*
  • External Fixators
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery*
  • Gait
  • Humans
  • Ilium / injuries*
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Male
  • Multiple Trauma / diagnostic imaging
  • Multiple Trauma / surgery*
  • Pubic Bone / injuries*
  • Radiography
  • Sacroiliac Joint / injuries*