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Neurologic injuries in pelvic ring fractures
M C Reilly1, D M Zinar, J M Matta
1Division of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA.
Clinical Orthopaedics and Related Research
|August 1, 1996
Summary
Motor vehicle trauma causing unstable pelvic fractures frequently leads to neurologic injuries. Early stabilization improved recovery outcomes, with 53% achieving full neurologic function.
Area of Science:
- Orthopedic Surgery
- Neurology
- Trauma Care
Background:
- Unstable pelvic ring fractures are common after motor vehicle trauma.
- Associated neurologic injuries contribute significantly to patient morbidity.
Purpose of the Study:
- To review the literature on neurologic injuries associated with pelvic ring fractures.
- To compare these findings with a clinical series of patients.
- To evaluate the prognosis for neurologic recovery after pelvic fracture stabilization.
Main Methods:
- Literature review of neurologic injuries in pelvic fractures.
- Clinical review of 90 patients with unstable pelvic injuries treated over 3 years.
- Follow-up examination of 83 patients to assess neurologic recovery.
Main Results:
- Neurologic injuries occurred in 21% of patients.
- Sensory deficits were present in 37%, while 63% had both motor and sensory deficits.
- All patients showed some neurologic recovery within 24 months, with 53% achieving complete recovery.
Conclusions:
- The incidence and distribution of neurologic injuries align with existing literature.
- Prognosis for neurologic recovery appears significantly better, potentially due to early anatomic reduction and stabilization techniques.