A new minimally invasive U-shaped lumbopelvic stabilization technique
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Lumbopelvic stabilization is a surgical technique used frequently to treat lumbosacral fractures; however, it can also be used in revision cases, infections, or during deformity correction. However, the related soft tissue complication rates associated with open lumbopelvic stabilization are high. Different authors have recently reported minimally invasive surgical techniques. We developed a rigid minimally invasive technique for lumbopelvic stabilization. We present our technique and also present preliminary results from 10 cases. We did not observe soft tissue-related complications in any patient. Implant removal was performed twice, to release healthy disks and because of implant prominence. One patient required revision surgery because of implant loosening due to osteoporosis, and one patient required revision surgery due to screw cap loosening. Postsurgical mobilization was good in all patients without further injuries; however, polytraumatized patients were limited by additional injuries. Thus, minimally invasive U-shaped lumbopelvic stabilization is a useful technique combining the soft tissue-related advantages of minimally invasive surgical techniques as well as a theoretically very rigid construct caused by strong implants.
KeywordsLumbopelvic stabilization Trauma Sacral fracture Wound healing Infection Surgical technique
Compliance with ethical standards
Conflict of interest
Authors declare that they do not have any conflict of interest.
This study complies with current law in Germany and was approved by the local ethics committee (No. 2479-2014).
- 4.Kach K, Trentz O (1994) Distraction spondylodesis of the sacrum in “vertical shear lesions” of the pelvis. Unfallchirurg 97(1):28–38Google Scholar
- 8.Keel MJ, Benneker LM, Siebenrock KA, Bastian JD (2011) Less invasive lumbopelvic stabilization of posterior pelvic ring instability: technique and preliminary results. J Trauma 71(3):E62–E70Google Scholar
- 10.Yano S, Aoki Y, Watanabe A, Nakajima T, Takazawa M, Hirasawa H, Takahashi K, Nakagawa K, Nakajima A, Takahashi H, Orita S, Eguchi Y, Suzuki T, Ohtori S (2017) Less invasive lumbopelvic fixation technique using a percutaneous pedicle screw system for unstable pelvic ring fracture in a patient with severe multiple traumas. J Neurosurg Spine 26(2):203–207CrossRefGoogle Scholar
- 15.Denis F, Davis S, Comfort T (1988) Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res 227:67–81Google Scholar
- 18.Herren C, Reijnen M, Pishnamaz M, Lichte P, Andruszkow H, Nebelung S, Siewe J, Hildebrand F, Kobbe P (2018) Incidence and risk factors for facet joint violation in open versus minimally invasive procedures during pedicle screw placement in patients with trauma. World Neurosurg 112:e711–e718CrossRefGoogle Scholar