Percutaneous posterior fixation for unstable pelvic ring fractures

Tempelaere, Christine; Vincent, C; Court, Charles

doi:10.1016/j.otsr.2017.07.024

Cited by 17 publications

(11 citation statements)

References 17 publications

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“…A similar profile of neurovascular abnormalities has been observed in other studies, which have also found that some patients experience osteoarthritis of the proximal sacroiliac joint; therefore, longer periods of follow-up are recommended to monitor long-term complications more efficiently. 29 , 30 …”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of percutaneous screw fixation of acetabular fracture: A minimally invasive procedure

Alsheikh

Alzahrani

Alshehri

et al. 2023

Journal of Taibah University Medical Sciences

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Section: Discussionmentioning

confidence: 99%

Clinical outcomes of percutaneous screw fixation of acetabular fracture: A minimally invasive procedure

Alsheikh

Alzahrani

Alshehri

et al. 2023

Journal of Taibah University Medical Sciences

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“…These parameters are particularly relevant for the treatment of polytrauma patients who may be hemodynamically unstable but also for the treatment of more fragile older patients [13,14,26,27]. Thus a transverse construct was proposed by Tempelaere et al [28] and Okuda et al [22], combining an L5 pedicle hold to create a crab-shaped lumboiliac construct. Shah et al [29] recently described a minimally invasive lumboiliac fixation with distal fixation at S2.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive triangular lumboiliac and iliosacral fixation of posterior pelvic ring injuries with vertical instability: Technical note

Prost

Boudissa

Fuentès

et al. 2021

Orthopaedics & Traumatology: Surgery & Research

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“…Pedicular screws and iliac screws can be inserted percutaneously under fluoroscopy or navigation and the rod inserted with a percutaneous dedicated spine device. These percutaneous procedures may be contraindicated if the reduction is not obtained under traction because of the difficulties to add reduction maneuvers percutaneously ( 31 , 32 ). Percutaneous procedures decrease blood loss and infection rates ( 33 ).…”

Section: Which Surgical Treatment?mentioning

confidence: 99%

Surgical management of lumbosacral and sacral fractures: roles of the pelvic and spinal surgeons

et al. 2023

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In young patients, lumbosacral fractures result primarily from high-energy traumas. Life-threatening lesions (e.g. visceral organs) are frequently associated with these fractures. Management consists of medical intensive care for adequate resuscitation and specialized surgical input. Lumbosacral junction represents a frontier between the spine and pelvic ring. Any injury in this area implies a thorough examination of both spine and pelvis through clinical examinations and CT scans. Patients must be assessed specifically for neurological and bladder/bowel symptoms. Several surgical classifications may be required to describe the entire fracture pattern. In unstable fracture with large displacements, definitive surgical fixation is often recommended. Various pelvic and spine surgery techniques can be used depending on the fracture pattern, surgeon’s experience, and available equipment. The use of intraoperative navigation may enhance placement of instrumentation, especially in cases of complex fractures, percutaneous fixations, and/or atypical patients’ anatomy. The fracture itself can cause debilitating complications with long-term consequences such as pain, neurological deficits, and bladder/bowel impairments. Wound infection remains the most common postoperative complication and prominent posterior instrumentation is frequently a source of pain. Irrespective of the treatment, leg discrepancy can be problematic in the case of malunion. Management of lumbosacral fractures requires a thorough understanding of both lumbar spine and pelvic injuries. Surgical treatment may involve a combination of spine and pelvic surgery techniques. Therefore, this implies for the surgeon to be trained specifically for these fractures, or else a close cooperation between the pelvic surgeon and the spine surgeon in managing the patients.

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Percutaneous posterior fixation for unstable pelvic ring fractures

Abstract: IV.

Cited by 17 publications

References 17 publications

Clinical outcomes of percutaneous screw fixation of acetabular fracture: A minimally invasive procedure

Clinical outcomes of percutaneous screw fixation of acetabular fracture: A minimally invasive procedure

Minimally invasive triangular lumboiliac and iliosacral fixation of posterior pelvic ring injuries with vertical instability: Technical note

Surgical management of lumbosacral and sacral fractures: roles of the pelvic and spinal surgeons

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