• OBJECTIVES
    • To evaluate the effectiveness of transsacral-transiliac screw fixation for the treatment of sacral insufficiency fractures that fail nonoperative treatment.
  • DESIGN
    • A pilot study series of consecutive patients identified over 5 years were treated and followed prospectively.
  • SETTING
    • Academic-affiliated, tertiary referral, level 1 trauma center in Dallas, TX.
  • PATIENTS/PARTICIPANTS
    • Patients were selected on the basis of presenting diagnosis, and failure of nonoperative treatment of their sacral insufficiency fracture. Eleven patients entered to the study, and 10 completed follow-up.
  • INTERVENTION
    • Placement of transsacral-transiliac screws for sacral insufficiency fracture.
  • MAIN OUTCOME MEASUREMENTS
    • Comparison of preoperative and postoperative Visual Analog Scale scores and Oswestry Low Back Disability Index scores.
  • RESULTS
    • Patients experienced statistically significant improvement in both outcome measures after intervention. No complications encountered.
  • CONCLUSIONS
    • Transsacral-transiliac screw fixation seems to be a safe and effective treatment for sacral insufficiency fractures recalcitrant to nonoperative management.
  • LEVEL OF EVIDENCE
    • Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.