Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma
Objective. To evaluate the use of minimally invasive lumbopelvic fixation (LPF) in the acute period of traumatic disease in patients with vertically unstable pelvic injuries. Material and Methods. Three patients with vertically unstable injuries of the pelvic ring were operated on using LPF techn...
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-09-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/427/1327 |
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| author | Alexandr K. Dulaev Igor V. Kazhanov Vadim A. Manukovsky Artem V. Petrov Znaur Yu. Alikov Sergey I. Mikityuk |
| author_facet | Alexandr K. Dulaev Igor V. Kazhanov Vadim A. Manukovsky Artem V. Petrov Znaur Yu. Alikov Sergey I. Mikityuk |
| author_sort | Alexandr K. Dulaev |
| collection | DOAJ |
| description | Objective. To evaluate the use of minimally invasive lumbopelvic fixation (LPF) in the acute period of traumatic disease in patients with
vertically unstable pelvic injuries.
Material and Methods. Three patients with vertically unstable injuries of the pelvic ring were operated on using LPF technique. Fixation
of pelvic fractures was performed by a minimally invasive procedure with a system of transpedicular and iliosacral screws. The choice of
the lumbopelvic system configuration depended on the sacral injury morphology.
Results. The average length of hospital stay was 22.7 ± 7.5 days. Assessment of the functional status of the pelvis using Majeed scale was
92.0 ± 5.3 points. Before surgery, the neurological status was assessed by Gibbons scale, all victims received 1 point: decompression of
sacral neural structures was not indicated. All the victims returned to the previous level of physical and professional activity in the period
from 6 to 18 months. At the same time, control SCT of the pelvis was performed, which confirmed the union of pelvic fractures and the
stability of instrumentation.
Conclusion. Successful restoration of the pelvic ring anatomy with subsequent stable fixation using minimally invasive internal osteosyn-
thesis in the acute period of traumatic disease including lumbopelvic transpedicular stabilization allowed obtaining good anatomical and
functional outcomes in patients with vertically unstable injuries of the pelvic ring. |
| first_indexed | 2024-03-12T20:30:58Z |
| format | Article |
| id | doaj.art-197b02382500494cb0059a848f48c82e |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T20:30:58Z |
| publishDate | 2017-09-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-197b02382500494cb0059a848f48c82e2023-08-02T00:03:39ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972017-09-01143404610.14531/ss2017.3.40-46Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytraumaAlexandr K. Dulaev0Igor V. Kazhanov1Vadim A. Manukovsky2Artem V. Petrov3Znaur Yu. Alikov4Sergey I. Mikityuk5St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, RussiaSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, RussiaSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia“Medi Prof” surgical center, St. Petersburg, RussiaSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, RussiaSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, RussiaObjective. To evaluate the use of minimally invasive lumbopelvic fixation (LPF) in the acute period of traumatic disease in patients with vertically unstable pelvic injuries. Material and Methods. Three patients with vertically unstable injuries of the pelvic ring were operated on using LPF technique. Fixation of pelvic fractures was performed by a minimally invasive procedure with a system of transpedicular and iliosacral screws. The choice of the lumbopelvic system configuration depended on the sacral injury morphology. Results. The average length of hospital stay was 22.7 ± 7.5 days. Assessment of the functional status of the pelvis using Majeed scale was 92.0 ± 5.3 points. Before surgery, the neurological status was assessed by Gibbons scale, all victims received 1 point: decompression of sacral neural structures was not indicated. All the victims returned to the previous level of physical and professional activity in the period from 6 to 18 months. At the same time, control SCT of the pelvis was performed, which confirmed the union of pelvic fractures and the stability of instrumentation. Conclusion. Successful restoration of the pelvic ring anatomy with subsequent stable fixation using minimally invasive internal osteosyn- thesis in the acute period of traumatic disease including lumbopelvic transpedicular stabilization allowed obtaining good anatomical and functional outcomes in patients with vertically unstable injuries of the pelvic ring.https://www.spinesurgery.ru/jour/article/view/427/1327unstable pelvic ring injuryminimally invasive lumbopelvic fixationtraumatic disease |
| spellingShingle | Alexandr K. Dulaev Igor V. Kazhanov Vadim A. Manukovsky Artem V. Petrov Znaur Yu. Alikov Sergey I. Mikityuk Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma Хирургия позвоночника unstable pelvic ring injury minimally invasive lumbopelvic fixation traumatic disease |
| title | Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma |
| title_full | Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma |
| title_fullStr | Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma |
| title_full_unstemmed | Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma |
| title_short | Minimally invasive lumbopelvic fixation for stabi- lization of the posterior pelvic ring in victims with polytrauma |
| title_sort | minimally invasive lumbopelvic fixation for stabi lization of the posterior pelvic ring in victims with polytrauma |
| topic | unstable pelvic ring injury minimally invasive lumbopelvic fixation traumatic disease |
| url | https://www.spinesurgery.ru/jour/article/view/427/1327 |
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