Assessment of the functional outcome after spinopelvic fixation for spinopelvic instabilities | ||||
| The Egyptian Orthopaedic Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 19 May 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/eoj.2025.370849.1021 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Abdelbadie Ibrahim  1; Ehab Youssef Hassanin2; Mohamed Mohamed Abdelaziz2
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| 1department of orthopedic surgery, faculty of medicine, Mansoura university | ||||
| 2Department of orthopedic surgery-faculty of medicine - Mansoura university | ||||
| Abstract | ||||
| Background: Spinopelvic dissociation is a transverse sacral fracture in conjunction with a vertical fracture of the sacrum on both sides, which causes the dissociation of the upper sacrum and spine from the pelvis. The most common causes of these fractures are high energy injuries. The purpose of this study was to assess the management of these injuries, functional outcome, possible complications and the effectiveness of spinopelvic fixation. Materials and methods: This is a prospective quasi-experimental study including 15 patients with traumatic spinopelvic dissociation. All patients were operated within 7 days after trauma. Patients were clinically examined and evaluated radiologically with plain radiographs and computed tomography (CT). Sacral fractures were classified according to the AO, Roy-Camille and Denis classifications. Open lumbo iliac fixation was standardized in all cases. We followed Patients for 12 months. The functional outcome was assessed using the Majeed pelvic score and visual analogue scale for back pain (VAS-BP). Results: 15 patients were enrolled in the final analysis, 9 males (60%) and 6 females (40 %). The mean age was 26.47±9.05 years. Majeed score and VAS-BP scores showed a statistically significant change during follow up among studied cases at 1 month, 6 months and 12 months being (26.80±4.31, 59.6±4.07 and 71.53±3.58) respectively for Majeed score and (6.13±0.35, 5.0±0.92 and 3.93±1.33) respectively for VAS-BP. Conclusion: bilateral ilio-lumbar fixation has been shown to yield satisfactory functional and radiological results in patients suffering from traumatic spino-pelvic dissociation. Keywords: Spinopelvic dissociation, lumbo iliac fixation, unstable sacral fractures | ||||
| Keywords | ||||
| Keywords: Spinopelvic dissociation; lumbo iliac fixation; unstable sacral fractures | ||||
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