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Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies
Joint Authors
Pearson, Jeffrey M.
Niemeier, Thomas E.
McGwin, Gerald
Rajaram Manoharan, Sakthivel
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Spinopelvic dissociation injuries are historically treated with open reduction with or without decompressive laminectomy.
Recent technological advances have allowed for percutaneous fixation with indirect reduction.
Herein, we evaluate outcomes and complications between patients treated with open reduction versus percutaneous spinopelvic fixation.
Methods.
Retrospective review of patients undergoing spinopelvic fixation from a single, level one trauma center from 2012 to 2017.
Patient information regarding demographics, associated injuries, and treatment outcome measures was recorded and analyzed.
All fractures were classified via the AO Spine classification system.
Results.
Thirty-one spinopelvic dissociations were identified: 15 treated with open and 16 with percutaneous techniques.
The two treatment groups had similar preoperative characteristics including spinopelvic parameters (pelvic incidence and lumbar lordosis).
Compared to open reduction internal fixation, percutaneous fixation of spinopelvic dissociation resulted in statistically significantly lower blood loss (171 cc versus 538 cc; p=0.0013).
There were no significant differences in surgical site infections (p=0.48) or operating room time (p=0.66).
Conclusion.
Percutaneous fixation of spinopelvic dissociation is associated with significantly less blood loss.
Treatment outcomes in terms of infection, length of stay, operative cost, and final alignment between the open and percutaneous group were similar.
American Psychological Association (APA)
Pearson, Jeffrey M.& Niemeier, Thomas E.& McGwin, Gerald& Rajaram Manoharan, Sakthivel. 2018. Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies. Advances in Orthopedics،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1122610
Modern Language Association (MLA)
Niemeier, Thomas E.…[et al.]. Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies. Advances in Orthopedics No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1122610
American Medical Association (AMA)
Pearson, Jeffrey M.& Niemeier, Thomas E.& McGwin, Gerald& Rajaram Manoharan, Sakthivel. Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies. Advances in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1122610
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1122610