Right Pelvic Ring Fracture (Young–Burgess Vertical Shear Type) Treated with ORIF and SI Joint Fixation | Balanku Hospital

Advanced Pelvic Trauma Surgery at Balanku Hospital

Pelvic ring fractures are severe injuries usually caused by high-energy trauma such as road traffic accidents or falls from height. Among these, the Young–Burgess Vertical Shear type is a highly unstable injury pattern involving disruption of both the anterior and posterior pelvic ring.

At Balanku Hospital, we specialize in managing complex pelvic trauma using advanced fixation techniques. We are pleased to share the successful treatment of Mr. Ravi, who presented with a right-sided pelvic ring fracture (Young–Burgess vertical shear type).

Understanding the Condition

Mr. Ravi presented with:

• Severe pelvic pain

• Difficulty standing or walking

• Pelvic instability

• Painful hip movements

Clinical evaluation and imaging studies confirmed a Right Pelvic Ring Fracture – Young–Burgess Vertical Shear Type, characterized by vertical displacement of the hemipelvis and disruption of the pubic symphysis and sacroiliac joint.

This type of fracture requires surgical stabilization to restore pelvic stability and prevent long-term complications.

Surgical Procedures Performed

1️⃣ Open Reduction and Internal Fixation (ORIF) for Pubic Diastasis

To stabilize the anterior pelvic ring, ORIF with plates and screws was performed for the pubic diastasis (separation of the pubic symphysis).

This helped to:

• Restore pelvic alignment

• Provide rigid anterior stability

• Reduce pain and improve structural support

2️⃣ CC Screw Fixation for Sacroiliac (SI) Joint

To address the posterior pelvic instability, CC (Cannulated Cancellous) screw fixation was performed across the sacroiliac joint.

This provided:

• Strong posterior pelvic stabilization

• Compression across the disrupted SI joint

• Restoration of vertical stability

The combined anterior and posterior fixation ensured complete pelvic ring stabilization.

Procedure Overview

Post-Surgical Recovery & Rehabilitation

Following surgery, Mr. Ravi was placed on a structured rehabilitation program focusing on:

• Gradual mobilization

• Controlled weight-bearing progression

• Pelvic and hip strengthening exercises

• Functional mobility training

Close follow-up ensured proper healing and maintenance of pelvic alignment.

Outcome

With timely surgical stabilization and rehabilitation, Mr. Ravi achieved:

• Stable pelvic alignment

• Successful fracture healing

• Progressive weight-bearing ability

• Restoration of mobility

• Return to daily functional activities

Advanced Pelvic Trauma Care at Balanku Hospital

At Balanku Hospital, we are committed to:

• Managing complex and unstable pelvic fractures

• Providing combined anterior and posterior fixation techniques

• Restoring pelvic stability and alignment

• Delivering comprehensive postoperative rehabilitation

We take pride in helping patients recover from severe trauma and return to an active, pain-free life.