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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
2020
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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. |
format | Online Article Text |
id | pubmed-7316542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda |
record_format | MEDLINE/PubMed |
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
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title_full |
Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
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title_fullStr |
Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
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title_full_unstemmed |
Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
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title_short |
Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation
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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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