Spinopelvic Dissociation: A Systematic Review and Meta-analysis.

Bäcker, Henrik C.; Vosseller, J Turner; Deml, Moritz C.; Perka, Carsten; Putzier, Michael (2021). Spinopelvic Dissociation: A Systematic Review and Meta-analysis. Journal of the American Academy of Orthopaedic Surgeons, 29(4), e198-e207. American Academy of Orthopaedic Surgeons 10.5435/JAAOS-D-19-00293

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INTRODUCTION

Spinopelvic dissociation is a rare type of injury which occurs in approximately 2.9% of pelvic disruptions and correlates with high-energy trauma.The purpose of this study was to systematically evaluate the incidence, demographics, treatment, clinical outcome, and complication rate associated with these injuries.

METHODS

A literature review on Medline, PubMed, and Google was performed. Overall, 216 abstracts were reviewed in English, German, and French, of which 50 articles were included.

RESULTS

Within the 50 studies, 19 publications were case reports and 16 were case series with low-level evidence. Overall, 379 patients with spinopelvic dissociation were identified at a mean age of 31.6 ± 11.6 years and an injury severity score of 23.1 ± 3.8 between 1969 and 2018. Most cases were related to fall from heights (55.7%), followed by road accidents (28.5%). Two hundred fifty-eight patients (68.1%) showed neurologic impairment at initial presentation, which improved in 65.1% after surgery. The treatment of choice was surgery in 93.1% of cases with triangular fixation in 68.8%. Regardless of the technique, the healing/fusion rate was 100% with a complication rate of 29.9% (n = 96/321).

CONCLUSION

Spinopelvic dissociation is a rare type of injury with limited data in the literature. Based on our review, it is possible that a streamlined, evidence-based algorithm may improve care for these difficult patients.

LEVEL OF EVIDENCE

II STUDY DESIGN:: Systematic Review.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Deml, Moritz Caspar

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1067-151X

Publisher:

American Academy of Orthopaedic Surgeons

Language:

English

Submitter:

Kathrin Aeschlimann

Date Deposited:

28 Dec 2020 19:20

Last Modified:

31 Jan 2021 01:34

Publisher DOI:

10.5435/JAAOS-D-19-00293

PubMed ID:

32453011

BORIS DOI:

10.7892/boris.149033

URI:

https://boris.unibe.ch/id/eprint/149033

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