Team Approach: Spinopelvic Dissociation. Issue 8 (12th August 2021)

• Record Type: Journal Article
• Authors: Wanner, John Paul; Tatman, Lauren; Stephens, Byron; Mitchell, Phillip
• Is Part Of: JBJS reviews. Volume 9:Issue 8(2021)
• Publication Date: 2021-08-12
• Subjects: Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedics -- Periodicals; Orthopedics; General Surgery; Bone Diseases; Joint Diseases; Bones -- Surgery; Joints -- Surgery; Orthopedics; Periodicals; Electronic journals; Periodicals; 617.47
• DOI: 10.2106/JBJS.RVW.20.00196
• Languages: English
• ISSNs: 2329-9185

Abstract

Abstract : » Spinopelvic dissociation is a complex and variable injury pattern that requires an integrated, multidisciplinary team including orthopaedic trauma and spine surgeons. » Protocols and efficient channels of communication should be in place at tertiary Level-I trauma centers to ensure appropriate and timely treatment of patients with spinopelvic dissociation. » Patients with spinopelvic dissociation may present with acute neurological deficits and impending cauda equina syndrome, necessitating urgent, coordinated care. » Lumbopelvic fixation with sacroiliac screws yields a stable, multiplanar construct that connects the spine to the pelvis and allows for early mobilization.