scholarly journals Minimally Invasive Lumbopelvic Fixation for Unstable U-Type Sacral Fractures

Cureus ◽  
2019 ◽  
Author(s):  
Darshan S Shah ◽  
Taylor Bates ◽  
Justin Fowler ◽  
Patrick Osborn ◽  
Anton Y Jorgensen
Keyword(s):  
Minimally Invasive ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation

scholarly journals Outcomes of Lumbopelvic Fixation in the Treatment of Complex Sacral Fractures Using Minimally Invasive Surgical Techniques

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582730-s-0036-1582730
Author(s):  
Ehsan Jazini ◽  
Emeka Nwodim ◽  
Oliver Tannous ◽  
Kelley Banagan ◽  
Eugene Koh ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Minimally Invasive Surgical

Outcomes of lumbopelvic fixation in the treatment of complex sacral fractures using minimally invasive surgical techniques

2017 ◽  
Vol 17 (9) ◽  
pp. 1238-1246 ◽  
Author(s):  
Ehsan Jazini ◽  
Tristan Weir ◽  
Emeka Nwodim ◽  
Oliver Tannous ◽  
Comron Saifi ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Minimally Invasive Surgical

scholarly journals Three-dimensional printing simulated operation combined with robot-aided minimally invasive lumbopelvic fixation in treatment of unstable bilateral sacral fractures: technical notes and 8 case series

2020 ◽  
Author(s):  
Zhaojie liu ◽  
Wei Tian ◽  
Xin Jin ◽  
Haotian Qi ◽  
Yuxi Sun ◽  
...  
Keyword(s):  
3D Printing ◽  
Minimally Invasive ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Case Series ◽  
Fluoroscopy Time ◽  
Type I ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Sacroiliac Screw Fixation

Abstract Background Despite their seldom appearance, unstable bilateral sacral fractures are severe injuries and always cause surgical management difficulties. Lumbopelvic fixation is reliable for rigid method, but wound-related complications with open procedure have been relatively common. Methods Data of 8 patients with unstable bilateral sacral fractures who were treated surgically in our institution from March 2016 to April 2019 were retrospectively analyzed. There were 5 men and 3 women with an average age of 38.5 years (range, 19-60years). According to the sharp of sacral fractures, there were one case with simple bilateral vertical fracture lines, 6 cases with “U” and one case with “H”. According to Roy-Camille classification, 7 of 8 sacral fractures involving sacral canal were classified with type I 2 cases, type II 4 cases and type III 1 case. Three-dimensional(3D) printing pelvis were performed to simulate lumbopelvic and sacroiliac screw fixation for preoperative planning. Eight bilateral sacral fractures were treated with minimally invasive lumbopelvic fixation under robotic guidance. Results The screws inserted with robotic assistance were exposed to radiation with an average of 41.6±10.2 times (range, 27–53 times) intraoperatively. The total fluoroscopy time was 32–59 s, and the average fluoroscopy time for each screw was 4.2±0.6s. According to modified Gras classification of screw position, there were Grade I in 7 cases and Grade II in one case (left S1 screw). The average operation time was 150.6 min (range, 95-220 min), and intraoperative blood loss was 87.5 ml (range, 60-120 ml). Eight patients were followed up consecutively for at least 12 months, with an average of 17.0 months (range, 12–24months). No patient suffered a neurovascular injury intraoperatively. There were no incision-related complications. All fractures healed with an average time of 4.2 months (range, 3–10 months). According to Majeed functional assessment investigation, the mean score was 88.4 points (range, 78–98 points), which were graded as follows: 5, excellent and 3, good. Conclusion Under robot guidance, minimally invasive lumbopelvic fixation for unstable bilateral sacral fractures is a feasible option with the advantages of accuracy, less radiation and safety. Simulated operation with 3D printing for preoperative planning can simplify the actual surgery.

Outcomes of Lumbopelvic Fixation in the Treatment of Complex Sacral Fractures Using Minimally Invasive Surgical Techniques

2016 ◽  
Vol 16 (10) ◽  
pp. S236
Author(s):  
Ehsan Jazini ◽  
Emeka J. Nwodim ◽  
Oliver Tannous ◽  
Comron Saifi ◽  
Nicholas Caffes ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Minimally Invasive Surgical

scholarly journals Minimally invasive triangular osteosynthesis for highly unstable sacral fractures

Medicine ◽  
2019 ◽  
Vol 98 (24) ◽  
pp. e16004 ◽  
Author(s):  
Shozo Kanezaki ◽  
Masashi Miyazaki ◽  
Naoki Notani ◽  
Toshinubu Ishihara ◽  
Tomonori Sakamoto ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Sacral Fractures ◽  
Triangular Osteosynthesis

scholarly journals Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report

2007 ◽  
Vol 65 (3b) ◽  
pp. 865-868 ◽  
Author(s):  
Marcelo D. Vilela ◽  
Charles Jermani ◽  
Bruno P. Braga
Keyword(s):  
Chronic Pain ◽  
Case Report ◽  
Postoperative Period ◽  
Sacral Fracture ◽  
Neurological Recovery ◽  
Neurological Deficits ◽  
Sphincter Function ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Iliac Screws

BACKGROUND: U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. OBJECTIVE: To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-years-old man. METHOD: Decompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws. RESULTS: Restitution of lumbosacropelvic stability and recovery of sphincter function. CONCLUSION: Lumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.

Minimally Invasive Spinopelvic Fixation for Unstable Bilateral Sacral Fractures

2016 ◽  
Vol 29 (3) ◽  
pp. 124-127 ◽  
Author(s):  
Koichiro Koshimune ◽  
Yasuo Ito ◽  
Yoshihisa Sugimoto ◽  
Takeshi Kikuchi ◽  
Takuya Morita ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Sacral Fractures ◽  
Spinopelvic Fixation

scholarly journals Comparison of Lumbopelvic Fixation and Iliosacral Screw Fixation for the Treatment of Bilateral Sacral Fractures

2021 ◽  
Author(s):  
Katharina E. Wenning ◽  
Emre Yilmaz ◽  
Thomas A. Schildhauer ◽  
Martin F. Hoffmann
Keyword(s):  
Operative Time ◽  
Screw Fixation ◽  
Pelvic Ring ◽  
Weight Bearing ◽  
Iliosacral Screw ◽  
Posterior Pelvic Ring ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Pelvic Ring Injuries ◽  
Iliosacral Screw Fixation

Abstract Background: Bilateral sacral fractures result in traumatic disruption of the posterior pelvic ring. Treatment for unstable posterior pelvic ring fractures should aim for fracture reduction and rigid fixation to facilitate early mobilization. Iliosacral screw fixation (ISF) and lumbopelvic fixation (LPF) were recommended for the treatment of these injuries. No algorithm or gold standard exists for surgery of these fractures. Purpose: The purpose of this study was to evaluate the differences between ISF and LPF in bilateral sacral fractures regarding intraoperative procedures, complications, and postoperative mobilization. The secondary aim was to determine if demographics influence surgical treatment.Methods: Over a 4-year period (2016-2019) 188 consecutive patients with pelvic ring injuries were treated at one academic level-1 trauma center and retrospectively identified. Fractures were classified according to the AO/OTA classification system. 77 patients were treated with LPF or ISF in combination with internal fixation of pubic rami fractures and could be included in this study. Comparisons were made between demographic and perioperative data. Infection, hematoma, and hardware malpositioning were used as complication variables. Mobilization with unrestricted weight-bearing was used as outcome variable. Follow-up was at least 6 months postoperatively.Results: Operative stabilization of bilateral posterior pelvic ring injuries was performed in 77 patients. Thereof, 29 patients (females 59%) underwent LPF whereas 48 patients (females 83%) had bilateral ISF. The ISF group was older (76 yrs.) compared to the LPF group (62 yrs.) (p=0.001), but no differences regarding BMI or comorbidities were detected. Time for surgery was reduced for patients who were treated with ISF compared to lumbopelvic fixation (165 min vs. 73 min; respectively, p<0.001). But this did not result in reduced fluoroscopic time or radiation exposure. Overall complication rate was not different between the groups. Patients with LPF had a greater length of stay (p=0.008) but were all weight-bearing as tolerated when discharged (p<0.001). Conclusion: Bilateral posterior pelvic ring injuries of the sacrum can be sufficiently treated by LPF or ISF. LPF allows immediate weight-bearing which may benefit younger patients and patients with an elevated risk for pneumonia or other pulmonary complications. Treatment with ISF reduces operative time, length of stay and postoperative wound infection. Elderly patients may be better suited for treatment with ISF if there is concern that the patient may not tolerate the increased operative time.

Modified Lumbopelvic Fixation Technique Utilizing S1 Pedicle Screws for Spinopelvic Dissociation U- and H-Type Sacral Fractures with Kyphotic Deformity

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Augustine M. Saiz ◽  
Alvin K. Shieh ◽  
Kelsey Hideshima ◽  
Felix Wong ◽  
Eric O. Klineberg ◽  
...  
Keyword(s):  
Pedicle Screws ◽  
Kyphotic Deformity ◽  
Fixation Technique ◽  
Sacral Fractures ◽  
Lumbopelvic Fixation ◽  
Spinopelvic Dissociation
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