Factors associated with outcome of spinopelvic dissociation treated with lumbopelvic fixation

Lindahl, Jan; Mäkinen, Tuula; Koskinen, Seppo; Söderlund, Tim

doi:10.1016/j.injury.2014.09.003

Cited by 77 publications

(64 citation statements)

References 21 publications

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“…Because of these advantages, triangular fixation can avoid the shear and rotational force on the injured area of the sacrum, not only preventing progressive nerve injury and re‐displacement of fracture but also creating a stable base to improve the rate of fracture union and allow ambulation early. In our study, all sacral fractures healed and the Majeed score was better than in other studies; these outcomes prove our hypothesis.…”

Section: Discussionsupporting

confidence: 87%

“…Therefore, they concluded that surgical management is the preference for TSD treatment. Other reports were of the same opinion.…”

Section: Introductionmentioning

confidence: 72%

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Spino‐pelvic Dissociation with Bilateral Triangular Fixation

Tian

Chen

Jia

2018

Orthopaedic Surgery

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Section: Discussionsupporting

confidence: 87%

“…Therefore, they concluded that surgical management is the preference for TSD treatment. Other reports were of the same opinion.…”

Section: Introductionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Traumatic Spino‐pelvic Dissociation with Bilateral Triangular Fixation

Tian

Chen

Jia

2018

Orthopaedic Surgery

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“…The accuracy of reduction significantly correlated clinical outcome (p=0.01) which is consistent with previous reports. [18,19] From our experiences, satisfactory results could be obtained from patients with non-displaced or minimally displaced fractures but for patients with unstable fracture pattern, internal fixation was recommended.…”

Section: Discussionmentioning

confidence: 91%

Management and outcome of pelvic fracture associated with vaginal injuries: a retrospective study of 25 cases

Zhou

et al. 2019

Preprint

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Backgound: Pelvic ring fractures associated with vaginal injuries were rarely reported due to low incidence. We hope a retrospective study containing a relatively large number of patients would help improve clinical outcome. Methods: We conducted a retrospective review of 25 patients with pelvic fractures associated with vaginal injury treated at our institution. The records of these patients were collected and 24 patients were followed-up for 10-36 months. Results: All patients suffered anterior pelvic ring fracture. Disruption of anterior ring and Young-Burgess classification of bony fracture seemed to be related to severity vaginal injury. Gauze packing was done in 6 patients and 18 patients received surgical repair. Infection occurred in 6 patients among them 4 were due to delayed diagnosis. Factors associated with pelvic outcome were age, urethral injury, fixation strategy, infection and accuracy of reduction. Four patients suffered pain in sexual intercourse but no influence factor found correlated to sexual function due to small case series. Conclusion: From our data, pelvic fractures caused by vertical shear forces and compromise pubic symphysis showed higher severity of vaginal injury. Age, associated urethral injury, fixation strategy and infection are prognostic factors of pelvic result. Significant relationship was shown between radiological and clinical outcomes. A thorough vaginal examination should be performed in female patients with pelvic fractures especially those with disruption of anterior pelvic ring to avoid missed diagnosis of vaginal laceration. Key words: Pelvic fracture, Vaginal injury, Clinical outcome

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