Lumbopelvic Fixation for Pelvic Fractures

Pelvic fractures are uncommon but complex injuries associated with a high degree of morbidity and mortality. Most fractures involving the pelvis, specifically the sacrum, can be effectively stabilized with iliosacral screws alone. However, significantly unstable fractures, particularly vertical shear patterns, as well as U-type variant sacral fracture patterns that create spinopelvic instability, require the addition of lumbopelvic fixation. The surgical technique involves neurologic decompression as necessary, multiplanar reduction of the pelvic ring and sacrum, and placement of stable fixation.

Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: Conor Kleweno, Carlo Bellabarba Source Type: research