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Team Approach: Spinopelvic Dissociation.

作者信息

Wanner John Paul, Tatman Lauren, Stephens Byron, Mitchell Phillip

机构信息

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

出版信息

JBJS Rev. 2021 Aug 12;9(8):01874474-202108000-00002. doi: e20.00196.

DOI:10.2106/JBJS.RVW.20.00196
PMID:34766943
Abstract

»: 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.

摘要

相似文献

1
Team Approach: Spinopelvic Dissociation.
JBJS Rev. 2021 Aug 12;9(8):01874474-202108000-00002. doi: e20.00196.
2
Displaced spinopelvic dissociation with sacral cauda equina syndrome: outcome of surgical decompression with a preliminary management algorithm.脊柱骨盆分离伴马尾综合征:手术减压的初步管理算法的结果。
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Factors associated with outcome of spinopelvic dissociation treated with lumbopelvic fixation.与腰骶骨盆固定治疗脊柱骨盆分离结局相关的因素。
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Spinopelvic injuries. Facts and controversies.脊柱骨盆损伤。事实与争议。
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Modified Lumbopelvic Technique Using S1 Pedicle Screws for Spinopelvic Dissociation U-Type and H-Type Sacral Fractures With Kyphotic Deformity.使用 S1 椎弓根螺钉改良腰骶骨盆技术治疗伴有后凸畸形的 U 型和 H 型骶骨骨折的脊柱骨盆分离。
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Minimally Invasive Fixation for Spinopelvic Dissociation: Percutaneous Triangular Osteosynthesis with S2 Alar-Iliac and Iliosacral Screws: A Case Report.微创固定治疗脊柱骨盆分离:经皮使用S2翼状髂骨螺钉和髂骶螺钉进行三角骨固定:病例报告
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Neurologic injury after spinopelvic dissociation: Incidence, outcome, and predictors.脊柱骨盆分离后的神经损伤:发生率、结局及预测因素。
Injury. 2023 Feb;54(2):615-619. doi: 10.1016/j.injury.2022.10.008. Epub 2022 Oct 28.

引用本文的文献

1
Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.创伤性腰骶部不稳:第2部分——手术治疗的适应证与技术
Arch Orthop Trauma Surg. 2025 Feb 1;145(1):152. doi: 10.1007/s00402-025-05752-9.
2
Traumatic lumbosacral instability: part 1 - proposing a definition and identifying underlying injury patterns.创伤性腰骶部不稳:第1部分 - 提出定义并识别潜在损伤模式
Arch Orthop Trauma Surg. 2024 Dec 12;145(1):37. doi: 10.1007/s00402-024-05604-y.
3
What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
采用三角骨固定术治疗的脊柱骨盆分离患者功能预后的关键因素有哪些?
J Clin Med. 2022 Nov 13;11(22):6715. doi: 10.3390/jcm11226715.