Evaluation of Fluoroscopic-Guided Closed Reduction versus Open Reduction of Sacroiliac Fracture-Luxations Stabilized with a Lag Screw

Fluoroscopic-guided closed reduction of sacroiliac fracture-luxations leads to consistently more optimal screw placement, as well as a lower incidence of lag screw loosening on follow-up radiographs. However, for cases with a longer duration from trauma to surgical repair, one should be prepared to convert to an open approach if a closed approach is not amenable to adequate reduction and lag screw placement.