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FIGURE 56.83
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CT scan confirms narrow safe zone (solid arrows) resulting from dysplastic upper sacral segment. Anterior articular surfaces of sacroiliac articulations are noted to be planar bilaterally. Undulating “tongue-in-groove” portions are situated posteriorly. ICD is noted bilaterally (open arrows).

出典

img 1:  From Chip M, Chip L Jr, Simonian PT, et al: Radiographic recognition of the sacral alar slope for optimal placement of iliosacral screws: a cadaveric and clinical study, J Orthop Trauma 10:171, 1996.