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Team Approach: Spinopelvic Dissociation
» 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 ...
John Paul Wanner +3 more
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Spinopelvic dissociation: aetiology, presentation and principles of treatment
Michael J Price +3 more
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Treatment of Spinopelvic Dissociation
JBJS Reviews, 2018* Multiplanar sacral fractures are characterized by the combination of horizontal and bilateral vertical fracture lines, leading to complex fracture types.* With a resultant disconnect between the cephalad axial spine and the caudad segment attached to the pelvis and lower extremities, these fracture characteristics, along with associated soft-tissue ...
Richard Yoon +2 more
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Factors associated with outcome of spinopelvic dissociation treated with lumbopelvic fixation
Injury, 2014Spinopelvic dissociation is a rare high-energy injury, which is frequently associated with lumbosacral plexus and cauda equina deficits. During an 18-year period, 36 consecutive patients with a H-type sacral fracture and spinopelvic dissociation were treated using lumbopelvic fixation with a minimum follow-up of 18 months.
Tim Söderlund, Tatu Mäkinen
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Operative Technique for Sacral Insufficiency Fractures Causing Spinopelvic Dissociation
Case: We present a case of a 54-year-old man with atraumatic, U-type sacral insufficiency and L5 compression fractures leading to spinopelvic dissociation, inability to ambulate, and bowel/bladder compromise. The patient underwent L3-4 percutaneous pedicle screw fixation with bilateral iliac bolts and percutaneous iliosacral ...
Aditya Muralidharan +8 more
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The Morel-Lavallée lesion revisited: management in spinopelvic dissociation
Spine Journal, 2015The Morel-Lavallée lesion occurs from a compression and shear force that usually separates the skin and subcutaneous tissue from the underlying muscular fascia. A dead space is created that becomes filled with blood, liquefied fat, and lymphatic fluid from the shearing of vasculature and lymphatics.
Safdar Khan, Elizabeth Yu
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Global Sagittal Imbalance Due to Change in Pelvic Incidence After Traumatic Spinopelvic Dissociation
Objectives: To examine how spinopelvic morphology changes after traumatic spinopelvic dissociation and whether these changes affect the sagittal balance of the spine. Design: Retrospective analysis. Setting: Level I trauma center.
Han-Dong, Lee +3 more
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Is Sacral Dysmorphism Protective Against Spinopelvic Dissociation? Multicenter Case Series
Objectives: Investigate the incidence of sacral dysmorphism (SD) in patients with spinopelvic dissociation (SPD). Design: Retrospective case series. Setting: Two academic level 1 trauma centers. Patients/
Mitchel R, Obey +3 more
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Traumatic spinopelvic dissociation or U-shaped sacral fracture: A review of the literature
Injury, 2012Traumatic spinopelvic dissociation is a rare high-energy injury pattern, characterised by a transverse sacral fracture in conjunction with bilateral sacral fracture-dislocations. It has a high incidence of neurological complications. The true nature of the injury is easily missed and diagnosis is delayed because it commonly presents in patients with ...
Chengla Yi
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Objective: To characterize the success and complications of percutaneous posterior pelvic fixation in the treatment of displaced spinopelvic dissociation patterns. Design: Retrospective cohort study. Setting: Three Level I trauma centers.
Justin P. Moo Young +9 more
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