CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(03): 304-309
DOI: 10.1055/s-0039-3402474
Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Complex Fractures of the Sacrum with Spinopelvic Dissociation Treated Surgically with Iliolumbar Fixation[*]

Article in several languages: português | English
1   Grupo de Cirurgia da Coluna, Hospital do Trabalhador, Curitiba, PR, Brasil
Xavier Soler I Graells
1   Grupo de Cirurgia da Coluna, Hospital do Trabalhador, Curitiba, PR, Brasil
2   Departamento de Ortopedia e Traumatologia, Hospital das Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil
André Luis Sebben
1   Grupo de Cirurgia da Coluna, Hospital do Trabalhador, Curitiba, PR, Brasil
Marcel Luiz Benato
1   Grupo de Cirurgia da Coluna, Hospital do Trabalhador, Curitiba, PR, Brasil
Pedro Grein Del Santoro
1   Grupo de Cirurgia da Coluna, Hospital do Trabalhador, Curitiba, PR, Brasil
Álynson Larocca Kulcheski
1   Grupo de Cirurgia da Coluna, Hospital do Trabalhador, Curitiba, PR, Brasil
› Author Affiliations
Further Information

Publication History

23 October 2018

12 March 2019

Publication Date:
25 June 2020 (online)


Objective To analyze a series of cases of complex fractures of the sacrum with spinopelvic dissociation surgically treated with iliolumbar fixation, and to review the existing medical literature.

Methods For the analysis, the medical records of the cases operated using the Schildhauer et al technique for fixation were retrospectively evaluated, and followed up for at least 12 months. The functional results were assessed using the visual analog scale (VAS) for pain and the Oswestry disability index, version 2.0. The data were compared with those of the existing medical literature.

Results Six cases were analyzed, four of which evolved with moderate disability, one, with minimal disability, and one, with severe disability. Three cases that presented neurological deficits obtained significant improvement. Only one case evolved with pulmonary thromboembolic complications.

Conclusion The Schildhauer et al technique is an efficient technique for the fixation of complex sacral fractures with spinopelvic dissociation. The patients evolved with good functional results. Early weight-bearing has been shown to be safe with the use of this treatment.

* Work developed at the Spinal Surgery Group, Hospital do Trabalhador, Curitiba, PR, Brazil.

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