Wanner John Paul, Tatman Lauren, Stephens Byron, Mitchell Phillip
Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
JBJS Rev. 2021 Aug 12;9(8):01874474-202108000-00002. doi: e20.00196.
»: Spinopelvic dissociation is a complex and variable injury pattern that requires an integrated, multidisciplinary team including orthopaedic trauma and spine surgeons.
»: Protocols and efficient channels of communication should be in place at tertiary Level-I trauma centers to ensure appropriate and timely treatment of patients with spinopelvic dissociation.
»: Patients with spinopelvic dissociation may present with acute neurological deficits and impending cauda equina syndrome, necessitating urgent, coordinated care.
»: Lumbopelvic fixation with sacroiliac screws yields a stable, multiplanar construct that connects the spine to the pelvis and allows for early mobilization.