The Journal of Trauma.
1992; 33: 793–794
O'Keefe RJ, Jones JA, Hurwitz SR
Department of Orthopaedics, University of Rochester School of Medicine, New York 14642.
Associated injuries often prevent aggressive management of bilateral sacroiliac fracture-dislocations, although excellent results have been reported with nonsurgical treatment. We report a case of bilateral sacroiliac joint fracture-dislocation in a patient with multiple injuries which was managed with the placement of an external fixation frame. This patient developed a prominent and painful coccyx and ultimately required a coccygectomy. The excellent final result demonstrates the therapeutic role of coccygectomy as a late treatment for this injury.