Spinopelvic dissociation: aetiology, presentation and principles of treatment

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All Authors

Price,Michael J.
Rodham,Paul Lambton
Tsirikos,Athanasios I.
McMillan,Tristan E.

LTHT Author

Price, Michael James
Rodham, Paul
McMillan, Tristan

LTHT Department

Trauma & Related Services
Orthopaedics
Neurosciences
Neurosurgery
Spinal Services

Non Medic

Publication Date

2024

Item Type

Article

Language

Subject

Subject Headings

Abstract

Spinopelvic dissociation describes the traumatic separation of the axial and appendicular skeleton, commonly involving bilateral vertical sacral fractures which may be linked by a transverse fracture line. This injury may occur in patients with osteoporosis, in which there may be relative stability with minimal displacement; or result from high-energy trauma with extensive associated injuries and an increased risk of complications. Operative intervention forms the mainstay of treatment for high-energy injuries, although the heterogenous nature and relative rarity of this phenomenon renders a comprehensive treatment strategy difficult to define.

Journal

Orthopaedics & Trauma