Biomechanical optimization of iliolumbar fixation strategies for unilateral vertical sacral fractures: Prioritizing stability-mobility balance via finite element analysis
Double-segment fixation, particularly the L5 + S1 + iliac screw model, is recommended for optimal sacral stability. For cases with compromised S1 pedicles, L4 + L5 + iliac screw fixation is a reliable alternative. Short-segment fixation is viable when prioritizing lumbar mobility.
Authors
- Huanyu Hong
- Weiwei Liu
- Yupeng Ma
- Tao Huang
- Guofeng Xu
- Yu Li
- Yong Zhao
Institutions
- Yantai University (CN)
- Yantaishan Hospital (CN)
- Shandong Center for Disease Control and Prevention (CN)
Publication Details
- Journal
- PLoS ONE
- Published
- 2026-01-13
- DOI
- https://doi.org/10.1371/journal.pone.0339705
- Primary Topic
- Pelvic and Acetabular Injuries
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China
- Binzhou Medical University
- Distinguished Middle-Aged and Young Scientist Encourage and Reward Foundation of Shandong Province