Spinopelvic fixation for vertically unstable AO type C pelvic fractures and sacral fractures with spinopelvic dissociation- A systematic review and pooled analysis involving 479 patients

Patel, Shwetak; Ghosh, Adarsh; Jindal, Karan; Kumar, Vishal; Aggarwal, Sameer; Kumar, Prasoon

doi:10.1016/j.jor.2022.01.010

Cited by 17 publications

(33 citation statements)

References 34 publications

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“…SPF is one of useful surgical methods using spinal instrumentation for vertically unstable pelvic ring fractures 1 . Crab-shaped fixation is a modified SPF first reported by Okuda et al.…”

Section: Discussionmentioning

confidence: 99%

“…We experienced a set-screw loosening after crab-shaped fixation, which was not reported as one of its implant-related complications among the 16 cases reported by Okuda et al 2 . A systematic review of the surgical outcomes of SPF for AO type-C pelvic ring fractures was performed by Patel et al in 2022 1 . The review showed that hardware prominence had a pooled estimated rate of 21.3 %, a high rate of implant-related complications 1 .…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review of the surgical outcomes of SPF for AO type-C pelvic ring fractures was performed by Patel et al in 2022 1 . The review showed that hardware prominence had a pooled estimated rate of 21.3 %, a high rate of implant-related complications 1 . This high rate of skin irritation with SPF implants has been reported to result in skin problems and later require implant removal.…”

Section: Discussionmentioning

confidence: 99%

“…Spinopelvic fixation (SPF) is one of the surgical treatments for AO classification C-type pelvic ring fractures and fracture dislocations with rotational and vertical instability. It has reported good clinical outcomes in imaging and motor functional evaluation and is the standard surgical treatment for complete unstable pelvic ring fractures [1] , [3] .…”

Section: Introductionmentioning

confidence: 99%

“…Systematic review of some reports about vertically unstable AO type-C pelvic ring fractures revealed some surgical complications, such as surgical site infections, skin problems, and implant failures, among others 1 . The review showed that hardware prominence had pooled estimated rates of 21.3 %, a high rate of implant-related complications 1 . Some case reports demonstrated early postoperative skin problems from implant irritation, and some required implant removal after bone union.…”

Section: Introductionmentioning

confidence: 99%

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Set-screw loosening of spinopelvic crab-shaped fixation for a patient with vertically unstable pelvic ring fracture

Yanagisawa

Kotaki

Nakajima

et al. 2022

Trauma Case Reports

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“…SPF is one of useful surgical methods using spinal instrumentation for vertically unstable pelvic ring fractures 1 . Crab-shaped fixation is a modified SPF first reported by Okuda et al.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Set-screw loosening of spinopelvic crab-shaped fixation for a patient with vertically unstable pelvic ring fracture

Yanagisawa

Kotaki

Nakajima

et al. 2022

Trauma Case Reports

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Current status of robot‐assisted surgery in the clinical application of trauma orthopedics in China: A systematic review

Lou

et al. 2022

Health Science Reports

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Background and Aims To elaborate on the development and characteristics of trauma orthopedic robots and their real curative effect in a clinical application through the collection and analysis of relevant literature and reported clinical results. Method We conducted the Embase, ScienceDirect, Pubmed, Medline, Wanfang, CNKI, and VIP search of the literature on robotic‐assisted surgery in trauma orthopedics in China. We combined search terms with “robotic surgery/artificial intelligence surgery/navigation surgery,” “trauma/trauma orthopedics,” and “China/Chinese.” The exclusion criteria were: (1) articles in languages other than English or Chinese, (2) articles focused on other topics other than robotic‐assisted surgery in trauma orthopedics of China, (3) article types were not clinical studies (reviews, basic research, etc.), and (4) articles were not included in the Chinese core journals or science citation index. Authors, type of surgery, robot type, and clinical research results were recorded and analyzed. Results There were three categories of surgical robots in the clinical application of trauma orthopedics (TiRobot, electromagnetic navigation surgical robots, and small medical robots developed by Beijing Jishuitan Hospital). In terms of blood loss, the fluoroscopy time, and fluoroscopy frequency, most studies found that the robot group was significantly better than the traditional group. Conclusions Robot‐assisted surgery has obvious advantages in accuracy, stability, and reducing intraoperative radiation exposure, but there is no final conclusion about functional recovery.

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Does minimally invasive percutaneous transilial internal fixator became an effective option for sacral fractures? A prospective study with novel implantation technique

Kassem

Khaled

Karim

et al. 2023

Eur J Trauma Emerg Surg

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Aim To assess radiological and functional outcomes of transilial internal fixator (TIFI) for treatment of sacral complete transforaminal fractures with a novel implantation technique that decrease wound irritation problems in addition to facilitating easy application of reduction methods beside showing the best entry points, screw trajectories and angles. Methods A Prospective case series from 2019 to 2021 was conducted at university hospital including 72 patients with Denis type 2 sacral fractures. The operative and fluoroscopy time, reduction, implantation techniques, postoperative radiological and functional data were collected and evaluated with minimum follow-up of 12 months. Results The mean initial fracture displacement was 4.42 mm while mean postoperative maximum residual fracture displacement was 2.8 mm, Radiological outcome assessed using Matta’s grading at the final follow-up visit with 63 cases scored as Excellent,7 cases as Good, 2 cases as fair. Functional outcome using Majeed scoring shows 64 cases of Excellent grading and 8 cases were Good. Short operative and fluoroscopy time, easy reduction techniques, few skin problems were recorded. Conclusion TIFI through a minimally invasive technique represents a valid method for dealing with transforaminal sacral fractures. TIFI provides a rigid fixation for posterior ring injuries with few risks regarding iatrogenic nerve injury, avoiding different variations of upper sacral osseous anatomy or sacral dysmorphism. In addition, there is no necessity for high quality fluoroscopy for visualization of sacral foramina intraoperatively, decreasing risk of radiation exposure, unlike other methods of fixation as iliosacral screws. Our novel modification for implantation technique provides few risks for postoperative and wound complications.

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Spinopelvic fixation for vertically unstable AO type C pelvic fractures and sacral fractures with spinopelvic dissociation- A systematic review and pooled analysis involving 479 patients

Cited by 17 publications

References 34 publications

Set-screw loosening of spinopelvic crab-shaped fixation for a patient with vertically unstable pelvic ring fracture

Set-screw loosening of spinopelvic crab-shaped fixation for a patient with vertically unstable pelvic ring fracture

Current status of robot‐assisted surgery in the clinical application of trauma orthopedics in China: A systematic review

Does minimally invasive percutaneous transilial internal fixator became an effective option for sacral fractures? A prospective study with novel implantation technique

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