Management of traumatic spinopelvic dissociations: review of the literature

Traumatic Spino‐pelvic Dissociation with Bilateral Triangular Fixation

“…The purposes of surgery on TSD include pelvic ring reconstruction, lumbopelvic stability restoration, fracture displacement prevention, and correction to improve the neurological deficiency. More and more surgeons are advocating for surgical management in the treatment of TSD, and open reduction internal fixation (ORIF) has demonstrated marked benefits over conservative treatment.…”

“…Traumatic spino‐pelvic dissociation (TSD) refers to a series of complicated sacral fractures, which consists of a transverse fracture line perpendicular to the sacral canal associated with bilateral longitudinal fracture lines, resulting in complete dissociation of the upper sacrum and spine of the pelvis. The occurrence rate of TSD is 3%–6%. Of all pelvic fractures, and the main mechanism of injury is falling.…”

“…Over the past 10 years, more and more surgeons have advocated for internal fixation in treating TSD; this technique can be used to reconstruct the normal weight‐bearing load axis so as to enable patients to ambulate early, to cure the injury of nerves caused by progressive fracture deformity, and to prevent the lumbo‐sacral pain resulting from instability of the lumbosacral junction. Yi and Hak reviewed the literature and found that the prognosis of TSD was closely related to the good quality of fracture reduction, which can only be obtained by operation.…”

Pelvic and acetabular fractures

“…In addition to this work, the article by Rickman et al [3] deals with the management of complex acetabular fractures in the elderly. Lehmann et al [4] give an overview of the handling of spinopelvic dissociations. These authors would like to take the opportunity to dedicate this issue to the 60th anniversary of Professor Johannes M. Rueger.…”

The S2-Alar-Iliac Screw for Pelvic Trauma

“…Triangular or distraction osteosynthesis, as used in various techniques, is a possible alternative [3,5,6]. A key problem of these methods is the high morbidity rate associated with poor soft-tissue coverage.…”