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Traumatic Sacral Fractures: Navigation Technique in Instrumented Stabilization.
Giorgio Santoro1, Piero Braidotti2, Fabrizio Gregori1
1Department of Human Neurosciences, Neurosurgery, UOD Emergency Orthopaedic Traumatology, Sapienza University of Rome, Rome, Italy.
World Neurosurgery
|October 30, 2019
Summary
Spinal navigation improves sacral fracture surgery outcomes. Multidisciplinary teams achieve optimal results, especially for complex spinal and pelvic injuries, reducing complications and improving safety.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Trauma Care
Background:
- Sacral fractures present significant treatment and classification challenges.
- Spinal navigation systems offer improved surgical accuracy.
- Multidisciplinary collaboration is key for complex cases.
Observation:
- A study of 25 sacral fracture cases (2015-2017) involved neurosurgeons and orthopedic surgeons using spinal navigation.
- Many patients had associated spinal fractures (80%) and required interventions for hypovolemic shock.
Findings:
- Spinal navigation facilitated both iliosacral (76%) and spinopelvic (24%) fixation with reduced operative times compared to traditional methods.
- Postoperative imaging confirmed accurate screw placement, with low complication rates (wound infection 8%, screw removal 4%).
Implications:
- Navigation systems increase safety and reduce malpositioning in instrumented sacropelvic reconstruction.
- Multidisciplinary management combined with navigation technology is crucial for optimal results in complex sacral, spinal, and pelvic trauma.
