Treatment of unstable pelvic ring injuries with vertebropelvic transpedicular fixation

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In the period from 2011 to 2013 in Botkin City Hospital 17 patients with unstable injuries of pelvic ring and lumbosacral junction were operated using the method of transpedicular vertebropelvic fixation. In the preoperative period a comprehensive instrumental examination, including X-rays and CT was performed in all patients. In 11 (64.7 %) patients neurological complications were detected, of which 4 (23.5%) - cauda equina syndrome (patients with transverse fractures of the sacrum). The follow- up of patients was 1.5 years In all cases the X-ray pattern after surgical treatment was regarded as satisfactory. During the observation period the necessary to remove the fixation devices didn’t appear. The regression rate of neurological symptoms in the postoperative period depend on the severity of the initial injury and the intensity of symptoms. In the group of patients with transverse fractures of the sacrum disorders of pelvic organs remained, caused by primary severe damage in the sacral canal zone. In the other groups there was a gradual regression of motor and sensory disorders in the year after surgery. The complications in the early postoperative period: 2 (11.8 %) cases of delayed healing of surgical wounds in the sacral region (secondary healing) and one (5.9%) case of postoperative wound infection that requested the secondary surgical treatment, rehabilitation and installation of the suction-irrigation system. The method of transpedicular vertebropelvic fixation is effective in the treatment of unstable pelvic injuries if braking-down of gemipelvis is necessary and also in the combined damage of low-lumbar spine.

About the authors

S. V. Donchenko

Botkin City Hospital

Author for correspondence.
Russian Federation

L. Y. Slinyakov

Botkin City Hospital; Sechenov First Moscow State Medical University

Russian Federation

A. V. Chemyaev

Botkin City Hospital

Russian Federation


  1. Гильфанов С.И., Даниляк В.В., Веденеев Ю.М. и др. Фиксация заднего полукольца при нестабильных повреждениях таза. Травматология и ортопедия России. 2009;(2):53-58. Gilfmnov S.I., Danilyak V.V., Vedeneev U.M. i dr. Fiksatsiya zadnego polukoltsa pri nestabilnykh povregdeniyakh taza (Fixation of posterior part in unstable pelvic injuries). Travmatologiya i ortopediya Rossii. 2009; (2):53-58.
  2. Михайловский М.В. Этапы развития вертебральной хирургии: исторический экскурс. Хирургия позвоночника. 2004;(1):10-24. Mikhailovskyi M.V. Etapy razvitiya vertebralnoy khirurgii: istoricheskiy ekskurs (The stage of evolution of the spinal surgery: a histirical review). Khirurgiya pozvonochnika. 2004;(1):10-24.
  3. Черкес-Заде Д.И., Нечволодова О.Л., Лазарев А.Ф. и др. Диагностика скрытых повреждений тазового кольца. Вестник травматологии и ортопедии им. Н.Н. Приорова. 1998;(2):15-18. Cherkes-Zade D.I., Nechvoloda O.L., Lazarev A.F. i dr. Diagnostica skrytykh povregdeniy tazovogo koltsa (Diagnosis of the nonobvious pelvic ring injury). Vestnik travmatologii i ortopedii im. N.N. Priorova. 1998;(2):15-18.
  4. Anderson S., Biros M.H., Reardon R.F. Delayed diagnosis of thoracolumbar fractures in multiple-trauma patients. Acad. Emerg. Med. 1996;3:832-839.
  5. Bents R.T., France J.C., Glover J.M. et al. Traumatic spondylopelvic dissociation. A case report and literature review. Spine. 1996;21:1814-1819.
  6. Denis F., Davis S., Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin. Orthop. 1988;227:67-81.
  7. Letournel E. Traitement chirurgical des traumatismes du basin e dehors des fractures isoles du cotyle. Rev. Chir. Orthop. 1981;67:771-782.
  8. Park Y.S., Baek S.W., Kim H.S., Park K.C. Management of sacral fractures associated with spinal or pelvic ring injury. J. Trauma Acute Care Surg. 2012;1(73):239-242.
  9. Robles L.A. Transverse sacral fractures. Spine J. 2009;9:60-69.
  10. Roy-Camille R., Saillant G., Gagna G. et al. Transverse fracture of the upper sacrum: suicidal jumper's fracture. Spine. 1985;10:838-845.
  11. Schildhauer T., Bellabarba C., Norl S. et al. Decompression and lumbopelvic fixation for sacral fracture-diclocations with spine-pelvic dissociation. J. Orthop. Trauma. 2006;20 (7):447-457.
  12. Soultanis K., Karaliotas G.I., Mastrokalos D. et al. Lumbopelvic fracture-dislocation combined with unstable pelvic ring injury: one stage stabilisation with spinal instrumentation. Injury. 2011;42:1179-1183.
  13. Tan G., He J., Fu B. et al. Lumbopelvic fixation for multiplanar sacral fractures with spinopelvic instability. Injury. 2012;43:1318-1325.
  14. Yi C., Hak D.J. Traumatic spinopelvic dissociation or U-shaped sacral fracture: a review of the literature. Injury. 2012;43:402-408.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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