title: Percutaneous Lumbopelvic Fixation for Reduction and Stabilization of Sacral Fractures With Spinopelvic Dissociation Patterns.
abstract: Sacral fractures that result in spinopelvic dissociation are unstable injuries that are often treated surgically, with iliosacral screw fixation and/or lumbopelvic fixation from L4 to the pelvis. Open lumbopelvic fixation allows for direct fracture reduction and immediate postoperative weight bearing, but is associated with a relatively high wound complication rate. Open surgery often takes several hours and can be associated with significant blood loss, and therefore may not be well tolerated physiologically in these patients who often have multiple injuries. We developed a percutaneous lumbopelvic reduction and fixation technique to address these issues.
authors.affiliation: *Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI; and †Department of Orthopaedics, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Seth K
authors.initials: SK
authors.lastname: Williams
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Quinnan
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000601:surgery; D012447:Sacrum / Q000293:injuries* / Q000601:surgery*; D016103:Spinal Fractures / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D016896:Treatment Outcome