Lumbopelvic fixation for multiplanar sacral fractures with spinopelvic instability

Tan, Guangming; He, Jiliang; Fu, Baisheng; Li, Lianxin; Wang, Bomin; Zhou, Dongsheng

doi:10.1016/j.injury.2012.05.003

Cited by 48 publications

(51 citation statements)

References 31 publications

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“…В литературе все чаще встречаются сообще-ния об использовании ПТФ задних структур таза при лечении пострадавших с нестабильны-ми повреждениями тазового кольца [3,19,27]. К недостаткам этой методики, выполняемой открытым доступом у пострадавших с поли-травмой в ранние сроки травматической бо-лезни, относят высокую вероятность вскрытия забрюшинной тазовой гематомы, вследствие чего возможна потеря эффекта «биологиче-ской» тампонады; дополнительную операцион-ную травму со значимой интраоперационной кровопотерей; местные инфекционные ослож-нения [7,23].…”

Section: Discussionunclassified

Minimally Invasive Lumbar-Pelvic Stabilization for Unstable Pelvic Ring Injuries

Dulaev

Кажанов

Мануковский

et al. 2017

Traumatology and Orthopedics of Russia

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Reconstructive operations for unstable pelvic ring injuries in most cases are performed at later date after trauma (period of complete stabilization of the vital functions). The paper presents treatment outcomes of three patients with vertically unstable pelvic ring injuries where minimally invasive lumbar-pelvic fixation with pedicle screws was applied. The morphology of sacrum injury determined a configuration of the lumbar-pelvic transpedicular system. In all cases the final surgery was performed in the early period of traumatic disease, which made it possible to restore the anatomy of the pelvic ring and obtain good functional outcomes.

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Section: Discussionunclassified

Minimally Invasive Lumbar-Pelvic Stabilization for Unstable Pelvic Ring Injuries

Dulaev

Кажанов

Мануковский

et al. 2017

Traumatology and Orthopedics of Russia

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“…Устойчивость к вертикальным и ротационным нагрузкам данной комбинации металлоконструкций доказана опытным путем с помощью стендовых биомеханических испытаний, поэтому данный способ остеосинтеза заднего отдела таза является биомеханически обоснованным [9,22]. В литературе все чаще встречаются сообщения об использовании ПТФ задних структур таза при лечении пострадавших с нестабильными повреждениями тазового кольца [1,3,4,6,7,15,17,19,21,23,25,26].…”

Section: материал и методыunclassified

Minimally Invasive Lumbopelvic Fixation for Stabilization of the Posterior Pelvic Ring in Victims With Polytrauma

Dulaev¹,

Кажанов²,

Мануковский³

et al. 2017

Hir. pozvonoč

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Objective. To evaluate the use of minimally invasive lumbopelvic fixation (LPF) in the acute period of traumatic disease in patients with vertically unstable pelvic injuries. Material and Methods. Three patients with vertically unstable injuries of the pelvic ring were operated on using LPF technique. Fixation of pelvic fractures was performed by a minimally invasive procedure with a system of transpedicular and iliosacral screws. The choice of the lumbopelvic system configuration depended on the sacral injury morphology. Results. The average length of hospital stay was 22.7 ± 7.5 days. Assessment of the functional status of the pelvis using Majeed scale was 92.0 ± 5.3 points. Before surgery, the neurological status was assessed by Gibbons scale, all victims received 1 point: decompression of sacral neural structures was not indicated. All the victims returned to the previous level of physical and professional activity in the period from 6 to 18 months. At the same time, control SCT of the pelvis was performed, which confirmed the union of pelvic fractures and the stability of instrumentation. Conclusion. Successful restoration of the pelvic ring anatomy with subsequent stable fixation using minimally invasive internal osteosynthesis in the acute period of traumatic disease including lumbopelvic transpedicular stabilization allowed obtaining good anatomical and functional outcomes in patients with vertically unstable injuries of the pelvic ring.

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“…Although preoperative nerve deficits are common with vertically unstable and complex bilateral sacral fractures, there have been multiple studies that have shown patients with partial or even full recovery without a decompression 7,11,12,18 . Furthermore, to our knowledge, there have been no studies designed to examine the role of decompression.…”

Section: Role Of Decompressionmentioning

confidence: 99%

“…V ertically unstable and complex bilateral sacral fractures are a result of high-energy mechanisms that are often associated with other injuries [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] . Vertically unstable sacral fractures result in the separation of the hemipelvis from the lumbar spine, whereas complex bilateral fractures result in a complete dissociation of the appendicular and axial skeleton.…”

mentioning

confidence: 99%

“…Vertically unstable sacral fractures result in the separation of the hemipelvis from the lumbar spine, whereas complex bilateral fractures result in a complete dissociation of the appendicular and axial skeleton. Recently, the surgical treatment algorithm for these fractures has changed, with an increasing number of surgeons advocating for the use of spinopelvic fixation or triangular osteosynthesis, a combination of spinopelvic fixation along with sacroiliac or transsacral screw fixation, to increase the stability of the construct and to allow for early weightbearing with decreased concern for secondary displacement [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Spinopelvic Fixation in Complex Sacral Fractures

et al. 2015

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Lumbopelvic fixation for multiplanar sacral fractures with spinopelvic instability

Cited by 48 publications

References 31 publications

Minimally Invasive Lumbar-Pelvic Stabilization for Unstable Pelvic Ring Injuries

Minimally Invasive Lumbar-Pelvic Stabilization for Unstable Pelvic Ring Injuries

Minimally Invasive Lumbopelvic Fixation for Stabilization of the Posterior Pelvic Ring in Victims With Polytrauma

Spinopelvic Fixation in Complex Sacral Fractures

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