Sabourin Marc, Lazennec Jean-Yves, Catonne Yves, Pascal-Moussellard Hugues, Rousseau Marc-Antoine
Department of Orthopaedic Surgery, La Pitié Salpétrière Teaching Hospital, Paris, France.
J Spinal Disord Tech. 2010 Oct;23(7):457-60. doi: 10.1097/BSD.0b013e3181bee88f.
Technical note and retrospective first cases study.
To present a novel surgical procedure for treating rare and challenging U-shaped fractures of the sacrum.
U-shaped fractures of the sacrum are not frequent and usually seen in the context of high energy trauma (high-fall injury). There is no consensus about the therapeutic strategy. When surgery is decided on selected patients, the technique raises several issues for the neural decompression, reduction, and fixation. The L5-S1 mobility has to be sacrificed for most authors.
Based on anatomic considerations, the authors present here the original surgical technique they have been using at their institution and a consecutive series of patients. The procedure associates a shortening osteotomy of the sacrum at the site of the fracture and a sacro-sacral fixation.
The proposed procedure was simple, safe, and effective.
Performing the osteotomy helps in the reduction and allows a short fixation, which spares the mobility of the lumbo-sacral junction.
技术说明及回顾性首例病例研究。
介绍一种治疗罕见且具有挑战性的骶骨U形骨折的新型手术方法。
骶骨U形骨折并不常见，通常发生在高能量创伤（高处坠落伤）的情况下。对于治疗策略尚无共识。当决定对选定患者进行手术时，该技术在神经减压、复位和固定方面引发了几个问题。大多数作者认为必须牺牲L5-S1的活动度。
基于解剖学考虑，作者在此介绍他们所在机构一直在使用的原始手术技术以及一系列连续的患者。该手术包括在骨折部位进行骶骨缩短截骨术和骶骨-骶骨固定术。
所提出的手术方法简单、安全且有效。
进行截骨术有助于复位并允许进行短节段固定，从而保留腰骶关节的活动度。
Zotero 插件