Percutaneous Lumbopelvic Fixation Technique for Reduction and Stabilization of Sacral Fractures with Spinopelvic Dissociation Patterns

Seth K. Williams, Stephen Quinnan

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

SUMMARY: Sacral fractures that result in spinopelvic dissociation are unstable injuries that are often treated surgically, with iliosacral screw fixation and/or lumbopelvic fixation from L4 to the pelvis. Open lumbopelvic fixation allows for direct fracture reduction and immediate post-operative weight bearing, but is associated with a relatively high wound complication rate. Open surgery often takes several hours and can be associated with significant blood loss, and therefore may not be well tolerated physiologically in these patients who often have multiple injuries. We developed a percutaneous lumbopelvic reduction and fixation technique in order to address these issues.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

Original languageEnglish (US)
JournalJournal of Orthopaedic Trauma
DOIs
StateAccepted/In press - Feb 12 2016

Fingerprint

Fracture Fixation
Multiple Trauma
Wounds and Injuries
Weight-Bearing
Licensure
Pelvis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

@article{d3b8b336e0f3422381308c3bad49e9ca,
title = "Percutaneous Lumbopelvic Fixation Technique for Reduction and Stabilization of Sacral Fractures with Spinopelvic Dissociation Patterns",
abstract = "SUMMARY: Sacral fractures that result in spinopelvic dissociation are unstable injuries that are often treated surgically, with iliosacral screw fixation and/or lumbopelvic fixation from L4 to the pelvis. Open lumbopelvic fixation allows for direct fracture reduction and immediate post-operative weight bearing, but is associated with a relatively high wound complication rate. Open surgery often takes several hours and can be associated with significant blood loss, and therefore may not be well tolerated physiologically in these patients who often have multiple injuries. We developed a percutaneous lumbopelvic reduction and fixation technique in order to address these issues.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.",
author = "Williams, {Seth K.} and Stephen Quinnan",
year = "2016",
month = "2",
day = "12",
doi = "10.1097/BOT.0000000000000559",
language = "English (US)",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Percutaneous Lumbopelvic Fixation Technique for Reduction and Stabilization of Sacral Fractures with Spinopelvic Dissociation Patterns

AU - Williams, Seth K.

AU - Quinnan, Stephen

PY - 2016/2/12

Y1 - 2016/2/12

N2 - SUMMARY: Sacral fractures that result in spinopelvic dissociation are unstable injuries that are often treated surgically, with iliosacral screw fixation and/or lumbopelvic fixation from L4 to the pelvis. Open lumbopelvic fixation allows for direct fracture reduction and immediate post-operative weight bearing, but is associated with a relatively high wound complication rate. Open surgery often takes several hours and can be associated with significant blood loss, and therefore may not be well tolerated physiologically in these patients who often have multiple injuries. We developed a percutaneous lumbopelvic reduction and fixation technique in order to address these issues.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

AB - SUMMARY: Sacral fractures that result in spinopelvic dissociation are unstable injuries that are often treated surgically, with iliosacral screw fixation and/or lumbopelvic fixation from L4 to the pelvis. Open lumbopelvic fixation allows for direct fracture reduction and immediate post-operative weight bearing, but is associated with a relatively high wound complication rate. Open surgery often takes several hours and can be associated with significant blood loss, and therefore may not be well tolerated physiologically in these patients who often have multiple injuries. We developed a percutaneous lumbopelvic reduction and fixation technique in order to address these issues.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

UR - http://www.scopus.com/inward/record.url?scp=84958794279&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958794279&partnerID=8YFLogxK

U2 - 10.1097/BOT.0000000000000559

DO - 10.1097/BOT.0000000000000559

M3 - Article

C2 - 26894767

AN - SCOPUS:84958794279

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

ER -