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Traumatic Spino-pelvic Dissociation with Bilateral Triangular Fixation.

Wei Tian1, Wen-Huan Chen2, Jian Jia1

  • 1Department of Traumatic Orthopaedics, Tianjin Hospital, Tianjin, China.

Orthopaedic Surgery
|August 29, 2018
PubMed
Summary

Modified triangular fixation effectively treats traumatic spino-pelvic dissociation (TSD), yielding good to excellent functional outcomes and solid fracture healing. This surgical approach is recommended for TSD patients.

Keywords:
ModifiedOutcomeSpino-pelvic DissociationTriangular Fixation

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Spinal Surgery

Background:

  • Traumatic spino-pelvic dissociation (TSD) presents complex challenges in orthopedic trauma.
  • Associated sacral injuries are common, impacting neurological function and long-term outcomes.

Purpose of the Study:

  • To evaluate the clinical outcomes of traumatic spino-pelvic dissociation (TSD) treated with modified bilateral triangular fixation.
  • To assess the efficacy of this surgical technique in achieving fracture healing and functional recovery.

Main Methods:

  • Retrospective review of 18 TSD patients treated with modified bilateral triangular fixation.
  • Surgical intervention included sacral plexus decompression in select cases.
  • Fracture reduction quality assessed by Mears' criteria, neurological recovery by Gibbons score, and function by Majeed assessment.

Main Results:

  • All 18 patients achieved fracture healing within an average of 11.3 months.
  • Majeed functional outcomes were excellent in 12, good in 4, and fair in 2 patients.
  • Significant improvement in average Gibbons score from 2.5 to 1.4 postoperatively (P < 0.05).

Conclusions:

  • Modified bilateral triangular fixation provides satisfactory clinical outcomes for TSD.
  • This technique is an effective and advanced surgical option for managing TSD.
  • The study recommends this approach for its ability to achieve good functional recovery and fracture union.