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Sung Kyu Kim 2 Articles
Internal Iliac Artery Ligation with Pad Packing for Hemodynamic Unstable Open Comminuted Sacral Fracture
Sung Kyu Kim, Yun Chul Park, Young Goun Jo, Wu Seong Kang, Jung Chul Kim
J Trauma Inj. 2017;30(4):238-241.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.238
  • 3,861 View
  • 38 Download
  • 1 Citations
AbstractAbstract PDF

A 52-year-old man experienced blunt trauma upon falling from a height of 40 m while trying to repair the elevator. The patient’s systolic blood pressure and hemoglobin levels were 60 mmHg and 7.0 g/dL, respectively, upon admission. A large volume of bloody discharge was observed in the open wound of the perianal area and sacrum. A computed tomography scan revealed an open comminuted sacral fracture with multiple contrast blushes. He underwent emergency laparotomy. Both internal iliac artery ligations were performed to control bleeding from the pelvis. Protective sigmoid loop colostomy was performed because of massive injury to the anal sphincters and pelvis. Pad packing was performed for a sacral open wound and perineal wound at the prone position. After resuscitation of massive transfusion, he underwent the second operation 2 days after the first operation. The pad was removed and the perineal and sacral open wounds were closed. After the damage-control surgery, he recovered safely. In this case, the hemodynamically unstable, open comminuted sacral fracture was treated safely by internal iliac artery ligation with pad packing.

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  • Penetrating sacral injury with a metallic pipe: a case report and literature review
    Mahnjeong Ha, Kyoung Hyup Nam, Jae Hun Kim, In Ho Han
    Journal of Trauma and Injury.2022; 35(2): 131.     CrossRef
Indirect Reduction and Spinal Canal Remodeling through Ligamentotaxis for Lumbar Burst Fracture
Wu Seong Kang, Jung Chul Kim, Ik Sun Choi, Sung Kyu Kim
J Trauma Inj. 2017;30(4):212-215.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.212
  • 5,683 View
  • 68 Download
AbstractAbstract PDF

The choice of the most appropriate treatment for thoracolumbar or lumbar spine burst fracture remains controversial from conservative treatment to fusion through a posterior or anterior approach. There are many cases where ligamentotaxis is used to reduce the burst fracture. However, indirect reduction using ligamentotaxis is often limited in the magnitude of the reduction that it can achieve. In our patient with severe burst fracture, we were able to restore an almost normal level of vertebral height and secure spinal canal widening by using only ligamentotaxis by posterior instrumentation. Before the operation, the patient had more than 95% encroachment of the spinal canal. This was reduced to less than 10% after treatment.

Summary

J Trauma Inj : Journal of Trauma and Injury