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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

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The floating hip: complications and outcomes.

Timothy A Burd¹, Michael S Hughes, Jeffrey O Anglen

¹Nebraska Spine Center, Omaha, Nebraska, USA.

The Journal of Trauma

|February 28, 2008

Summary

Simultaneous ipsilateral femur and pelvis fractures are severe injuries. Treatment often prioritizes femur fixation first, with high rates of complications like sciatic nerve palsy.

Area of Science:

Orthopedic Surgery
Trauma Care
Radiology

Background:

Simultaneous ipsilateral femur and pelvis fractures represent severe trauma.
These injuries often result from high-energy mechanisms.

Purpose of the Study:

To describe the clinical course, treatment, complications, and outcomes of patients with combined ipsilateral femur and pelvic fractures.

Main Methods:

Retrospective review of medical records and radiographs from 57 patients.
Analysis of fracture patterns, surgical interventions, and complication rates.

Main Results:

44% of patients had concomitant acetabular and pelvic ring fractures with ipsilateral femur fracture.
Surgical intervention was common for acetabular (80%), pelvic ring (55%), and femur (94%) fractures.

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High complication rates observed, including heterotopic ossification (34%) and sciatic nerve palsy (33%).

Conclusions:

Combined femur and pelvic/acetabular injuries require careful management due to severity and high complication incidence.
Femur fracture fixation is typically performed first.
Awareness of sciatic nerve palsy and other complications is crucial for optimal patient outcomes.