Disociación lumbopélvica: reporte de casos, revisión de la literatura
DOI:
https://doi.org/10.1016/S0120-8845(13)70019-1Palabras clave:
fracturas de la columna vertebral, traumatismos de la cauda equina, traumatismos del sacro, luxaciones/cirugía, fijación interna de fracturas, descompresión quirúrgica, informes de casos, nivel de evidencia: IVResumen
Las fracturas de sacro que involucran disociación lumbopélvica tienen baja frecuencia a nivel mundial. Se asocian a traumatismos de alta energía y tienen una alta tasa de subdiagnóstico o diagnóstico tardío. Se presentan dos casos de disociación lumbopélvica, diagnosticados mediante herramientas clínicas y paraclínicas, que fueron fijados con tornillos iliolumbares de forma exitosa.
Descargas
Referencias bibliográficas
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
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Revista Colombiana de ortopedia y traumatología

Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.