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Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation

Objective  To analyze a series of cases of complex fractures of the sacrum with spinopelvic dissociation surgically treated with iliolumbar fixation, and to review the existing medical literature. Methods  For the analysis, the medical records of the cases operated using the Schildhauer et al techni...

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Autores principales: Miyamoto, Alberto Kazuo, Graells, Xavier Soler I, Sebben, André Luis, Benato, Marcel Luiz, Santoro, Pedro Grein Del, Kulcheski, Álynson Larocca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316542/
https://www.ncbi.nlm.nih.gov/pubmed/32616975
http://dx.doi.org/10.1055/s-0039-3402474
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author Miyamoto, Alberto Kazuo
Graells, Xavier Soler I
Sebben, André Luis
Benato, Marcel Luiz
Santoro, Pedro Grein Del
Kulcheski, Álynson Larocca
author_facet Miyamoto, Alberto Kazuo
Graells, Xavier Soler I
Sebben, André Luis
Benato, Marcel Luiz
Santoro, Pedro Grein Del
Kulcheski, Álynson Larocca
author_sort Miyamoto, Alberto Kazuo
collection PubMed
description Objective  To analyze a series of cases of complex fractures of the sacrum with spinopelvic dissociation surgically treated with iliolumbar fixation, and to review the existing medical literature. Methods  For the analysis, the medical records of the cases operated using the Schildhauer et al technique for fixation were retrospectively evaluated, and followed up for at least 12 months. The functional results were assessed using the visual analog scale (VAS) for pain and the Oswestry disability index, version 2.0. The data were compared with those of the existing medical literature. Results  Six cases were analyzed, four of which evolved with moderate disability, one, with minimal disability, and one, with severe disability. Three cases that presented neurological deficits obtained significant improvement. Only one case evolved with pulmonary thromboembolic complications. Conclusion  The Schildhauer et al technique is an efficient technique for the fixation of complex sacral fractures with spinopelvic dissociation. The patients evolved with good functional results. Early weight-bearing has been shown to be safe with the use of this treatment.
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spelling pubmed-73165422020-07-01 Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation Miyamoto, Alberto Kazuo Graells, Xavier Soler I Sebben, André Luis Benato, Marcel Luiz Santoro, Pedro Grein Del Kulcheski, Álynson Larocca Rev Bras Ortop (Sao Paulo) Objective  To analyze a series of cases of complex fractures of the sacrum with spinopelvic dissociation surgically treated with iliolumbar fixation, and to review the existing medical literature. Methods  For the analysis, the medical records of the cases operated using the Schildhauer et al technique for fixation were retrospectively evaluated, and followed up for at least 12 months. The functional results were assessed using the visual analog scale (VAS) for pain and the Oswestry disability index, version 2.0. The data were compared with those of the existing medical literature. Results  Six cases were analyzed, four of which evolved with moderate disability, one, with minimal disability, and one, with severe disability. Three cases that presented neurological deficits obtained significant improvement. Only one case evolved with pulmonary thromboembolic complications. Conclusion  The Schildhauer et al technique is an efficient technique for the fixation of complex sacral fractures with spinopelvic dissociation. The patients evolved with good functional results. Early weight-bearing has been shown to be safe with the use of this treatment. Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda 2020-06 2020-06-25 /pmc/articles/PMC7316542/ /pubmed/32616975 http://dx.doi.org/10.1055/s-0039-3402474 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Miyamoto, Alberto Kazuo
Graells, Xavier Soler I
Sebben, André Luis
Benato, Marcel Luiz
Santoro, Pedro Grein Del
Kulcheski, Álynson Larocca
Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
title Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
title_full Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
title_fullStr Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
title_full_unstemmed Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
title_short Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
title_sort complex fractures of the sacrum with spinopelvic dissociation treated surgically with iliolumbar fixation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316542/
https://www.ncbi.nlm.nih.gov/pubmed/32616975
http://dx.doi.org/10.1055/s-0039-3402474
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