{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:55Z","timestamp":1787755315784,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n A 16-year-old girl presented to the emergency department after a 6-foot fall while skiing. The patient presented with left-sided pelvic pain and acute blood loss anemia. She was diagnosed with pelvic ring fracture (LC-2) and underwent open reduction internal fixation using a trans-sacral trans-iliac (TSTI) screw. She initially recovered but reported chronic right-sided back pain 4 years later. After hardware removal, she remained symptom-free for 1 year.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Very few cases report contralateral pain associated with TSTI screws penetrating the opposite SI joint. This report highlights a possible long-term complication surgeons should account for when considering TSTI fixation.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00453","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:00:22Z","timestamp":1769194822000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Contralateral Back Pain Following Trans-sacral Trans-iliac Screw Fixation"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2502-6832","authenticated-orcid":false,"given":"Dillon","family":"Murugesan","sequence":"first","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Owuor","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0341-7683","authenticated-orcid":false,"given":"Kenneth","family":"Egol","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"7","key":"bib1-20260123","doi-asserted-by":"crossref","first-page":"388","DOI":"10.11622\/smedj.2021024","article-title":"Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore","volume":"63","author":"Singh","year":"2022","journal-title":"Singapore Med J."},{"issue":"1","key":"bib2-20260123","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s13037-022-00333-w","article-title":"Trans-sacral screw fixation of posterior pelvic ring injuries: review and expert opinion","volume":"16","author":"Ziran","year":"2022","journal-title":"Patient Saf Surg."},{"issue":"2","key":"bib3-20260123","doi-asserted-by":"crossref","first-page":"359","DOI":"10.3390\/traumacare2020029","article-title":"Current concepts in pediatric pelvic ring fractures: a narrative review","volume":"2","author":"Aprato","year":"2022","journal-title":"Trauma Care."},{"issue":"12","key":"bib4-20260123","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1016\/j.injury.2013.08.008","article-title":"Intra- and postoperative complications of navigated and conventional techniques in percutaneous iliosacral screw fixation after pelvic fractures: results from the German pelvic trauma registry","volume":"44","author":"Zwingmann","year":"2013","journal-title":"Injury."},{"issue":"9","key":"bib5-20260123","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1097\/BOT.0000000000000622","article-title":"The effect of transiliac-transsacral screw fixation for pelvic ring injuries on the uninjured sacroiliac joint","volume":"30","author":"Mardam-Bey","year":"2016","journal-title":"J Orthop Trauma."},{"issue":"6","key":"bib6-20260123","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1007\/s11999-015-4596-z","article-title":"Do transsacral-transiliac screws across uninjured sacroiliac joints affect pain and functional outcomes in trauma patients?","volume":"474","author":"Heydemann","year":"2016","journal-title":"Clin Orthop Relat Res."},{"issue":"1 Suppl","key":"bib7-20260123","doi-asserted-by":"crossref","first-page":"S30","DOI":"10.1097\/01.bot.0000202390.40246.16","article-title":"Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure?","volume":"20","author":"Griffin","year":"2006","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib8-20260123","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1186\/s13018-021-02239-2","article-title":"A useful intraoperative technique for transiliac-transsacral screws: a point-to-point coaxial guide apparatus","volume":"16","author":"Zheng","year":"2021","journal-title":"J Orthop Surg Res."},{"issue":"4","key":"bib9-20260123","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/j.injury.2011.12.023","article-title":"Comparison of stability of two kinds of sacro-iliac screws in the fixation of bilateral sacral fractures in a finite element model","volume":"43","author":"Zhao","year":"2012","journal-title":"Injury."},{"issue":"5","key":"bib10-20260123","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.otsr.2013.03.023","article-title":"Mechanical comparison between lengthened and short sacroiliac screws in sacral fracture fixation: a finite element analysis","volume":"99","author":"Zhao","year":"2013","journal-title":"Orthop Traumatol Surg Res."},{"issue":"7","key":"bib11-20260123","doi-asserted-by":"crossref","first-page":"112356","DOI":"10.1016\/j.injury.2025.112356","article-title":"Single trans-iliac trans-sacral screw (STITSS) versus dual iliosacral screws (ISS) in fixation of unstable pelvic ring disruptions","volume":"56","author":"Badran","year":"2025","journal-title":"Injury."},{"issue":"1","key":"bib12-20260123","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.1097\/BOT.0000000000000708","article-title":"A useful preoperative planning technique for transiliac-transsacral screws","volume":"31","author":"Lucas","year":"2017","journal-title":"J Orthop Trauma."},{"issue":"2","key":"bib13-20260123","doi-asserted-by":"crossref","first-page":"287","DOI":"10.3171\/2021.4.SPINE202035","article-title":"The degenerative changes of the sacroiliac joint after S2 alar-iliac screw placement","volume":"36","author":"Ikeda","year":"2021","journal-title":"J Neurosurg Spine."},{"issue":"suppl 1","key":"bib14-20260123","doi-asserted-by":"crossref","first-page":"3","DOI":"10.14444\/6077","article-title":"Biomechanics of the sacroiliac joint: anatomy, function, biomechanics, sexual dimorphism, and causes of pain","volume":"14","author":"Kiapour","year":"2020","journal-title":"Int J Spine Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00453","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:03Z","timestamp":1787751663000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00453"}},"subtitle":["Resolution After Hardware Removal"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00453","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}