Lumbopelvic dissociation: Case report and literature review

Authors

  • Fernando Torres Romero Hospital Militar Central. Bogotá, Colombia
  • Ricardo Vega Caicedo Universidad Nacional de Colombia. Bogotá, Colombia

DOI:

https://doi.org/10.1016/S0120-8845(13)70019-1

Keywords:

spinal fractures, cauda equina/injuries, sacrum/injuries, dislocations/surgery, fracture fixation, internal, decompression, surgical, case reports, evidence level: IV

Abstract

Sacral fractures that involve lumbopelvic dissociation, have low frequency, and areassociated with high energy trauma and high rate of misdiagnosis or delayed diagnosis. We describe two cases of lumbopelvic dissociation, who were surgically treated with iliolumbarscrews.

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Author Biographies

Fernando Torres Romero, Hospital Militar Central. Bogotá, Colombia

Coronel, Ejército Nacional de Colombia. Ortopedista, cirujano de columna, jefe del Servicio de Ortopedia Hospital Militar Central, Bogotá, Colombia.

Ricardo Vega Caicedo, Universidad Nacional de Colombia. Bogotá, Colombia

Residente de tercer año de Ortopedia y Traumatología, Universidad Nacional de Colombia, Bogotá, Colombia.

References

Bellabarba C, Schildhauer TA, Vaccaro AR, Chapman JR. Complications associated with surgical stabilization of highgrade sacral fracture dislocations with spino-pelvic instability. Spine (Phila Pa 1976). 2006;31(11 Suppl):S80-S88. https://doi.org/10.1097/01.brs.0000217949.31762.be

Bellabarba C, Stewart JD, Ricci WM, DiPasquale TG, Bolhofner BR. Midline sagittal sacral fractures in anterior-posterior compression pelvic ring injuries. J Orthop Trauma. 2003;17: 32-7. https://doi.org/10.1097/00005131-200301000-00005

Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Routt ML Jr, Chapman JR. Decompression and lumbopelvic Þ xation for sacral fracture-dislocations with spino-pelvic dissociation. J Orthop Trauma. 2006;20:447-57. https://doi.org/10.1097/00005131-200608000-00001

Denis F, Davis S, Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res. 1988;227:67-81. https://doi.org/10.1097/00003086-198802000-00010

Schildhauer TA, Ledoux WR, Chapman JR, Henley MB, Tencer AF, Routt ML Jr. Triangular osteosynthesis and iliosacral screw Þ xation for unstable sacral fractures: a cadaveric and biomechanical evaluation under cyclic loads. J Orthop Trauma. 2003;17:22-31. https://doi.org/10.1097/00005131-200301000-00004

Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine (Phila Pa 1976). 1985;10:838-45. https://doi.org/10.1097/00007632-198511000-00011

Cuevas-Ochoa H. Fijación vertebropelvinar. Ortho-tips. 2008;4: 268-76.

Vaccaro AR, Kim DH, Brodke DS, Harris M, Chapman JR, Schildhauer T, et al. Diagnosis and management of sacral spine fractures. Instr Course Lect. 2004;53:375-85. https://doi.org/10.2106/00004623-200401000-00027

Gibbons KJ, Soloniuk DS, Razack N. Neurological injury and patterns of sacral fractures. J Neurosurg. 1990;72:889-93. https://doi.org/10.3171/jns.1990.72.6.0889

Nork SE, Jones CB, Harding SP, Mirza SK, Routt ML Jr. Percutaneous stabilization of U-shaped sacral fractures using iliosacral screws: technique and early results. J Orthop Trauma. 2001;15:238-46. https://doi.org/10.1097/00005131-200105000-00002

O'Brien JR, Yu WD, Bhatnagar R, Sponseller P, Kebaish KM. An anatomic study of the S2 iliac technique for lumbopelvic screw placement. Spine (Phila Pa 1976). 2009;34:E439-E442. https://doi.org/10.1097/BRS.0b013e3181a4e3e4

Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C. Minimum 5-year analysis of L5-S1 fusion using sacropelvic Þ xation (bilateral S1 and iliac screws) for spinal deformity. Spine (Phila Pa 1976). 2006;31:303-8. https://doi.org/10.1097/01.brs.0000197193.81296.f1

Klineberg E, McHenry T, Bellabarba C, Wagner T, Chapman J, Chapman J. Sacral insufficiency fractures caudal to instrumented posterior lumbosacral arthrodesis. Spine (Phila Pa 1976). 2008;33:1806-11. https://doi.org/10.1097/BRS.0b013e31817b8f23

Schildhauer TA, McCulloch P, Chapman JR, Mann FA. Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic Þ xations. J Spinal Disord Tech. 2002;15: 199-205. https://doi.org/10.1097/00024720-200206000-00005

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Published

2013-12-25

How to Cite

1.
Torres Romero F, Vega Caicedo R. Lumbopelvic dissociation: Case report and literature review. Rev. Colomb. Ortop. Traumatol. [Internet]. 2013 Dec. 25 [cited 2025 May 11];27(4):191-7. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/469

Issue

Vol. 27 No. 4 (2013)

Section

Original research

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