Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies
Introduction. Spinopelvic dissociation injuries are historically treated with open reduction with or without decompressive laminectomy. Recent technological advances have allowed for percutaneous fixation with indirect reduction. Herein, we evaluate outcomes and complications between patients treate...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/5023908 |
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| _version_ | 1832559011309813760 |
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| author | Jeffrey M. Pearson Thomas E. Niemeier Gerald McGwin Sakthivel Rajaram Manoharan |
| author_facet | Jeffrey M. Pearson Thomas E. Niemeier Gerald McGwin Sakthivel Rajaram Manoharan |
| author_sort | Jeffrey M. Pearson |
| collection | DOAJ |
| description | Introduction. Spinopelvic dissociation injuries are historically treated with open reduction with or without decompressive laminectomy. Recent technological advances have allowed for percutaneous fixation with indirect reduction. Herein, we evaluate outcomes and complications between patients treated with open reduction versus percutaneous spinopelvic fixation. Methods. Retrospective review of patients undergoing spinopelvic fixation from a single, level one trauma center from 2012 to 2017. Patient information regarding demographics, associated injuries, and treatment outcome measures was recorded and analyzed. All fractures were classified via the AO Spine classification system. Results. Thirty-one spinopelvic dissociations were identified: 15 treated with open and 16 with percutaneous techniques. The two treatment groups had similar preoperative characteristics including spinopelvic parameters (pelvic incidence and lumbar lordosis). Compared to open reduction internal fixation, percutaneous fixation of spinopelvic dissociation resulted in statistically significantly lower blood loss (171 cc versus 538 cc; p=0.0013). There were no significant differences in surgical site infections (p=0.48) or operating room time (p=0.66). Conclusion. Percutaneous fixation of spinopelvic dissociation is associated with significantly less blood loss. Treatment outcomes in terms of infection, length of stay, operative cost, and final alignment between the open and percutaneous group were similar. |
| format | Article |
| id | doaj-art-80235110b3334b1db2d4da7a40ba8c5c |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-80235110b3334b1db2d4da7a40ba8c5c2025-02-03T01:30:59ZengWileyAdvances in Orthopedics2090-34642090-34722018-01-01201810.1155/2018/50239085023908Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation StrategiesJeffrey M. Pearson0Thomas E. Niemeier1Gerald McGwin2Sakthivel Rajaram Manoharan3Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USADepartment of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USADepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USADepartment of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USAIntroduction. Spinopelvic dissociation injuries are historically treated with open reduction with or without decompressive laminectomy. Recent technological advances have allowed for percutaneous fixation with indirect reduction. Herein, we evaluate outcomes and complications between patients treated with open reduction versus percutaneous spinopelvic fixation. Methods. Retrospective review of patients undergoing spinopelvic fixation from a single, level one trauma center from 2012 to 2017. Patient information regarding demographics, associated injuries, and treatment outcome measures was recorded and analyzed. All fractures were classified via the AO Spine classification system. Results. Thirty-one spinopelvic dissociations were identified: 15 treated with open and 16 with percutaneous techniques. The two treatment groups had similar preoperative characteristics including spinopelvic parameters (pelvic incidence and lumbar lordosis). Compared to open reduction internal fixation, percutaneous fixation of spinopelvic dissociation resulted in statistically significantly lower blood loss (171 cc versus 538 cc; p=0.0013). There were no significant differences in surgical site infections (p=0.48) or operating room time (p=0.66). Conclusion. Percutaneous fixation of spinopelvic dissociation is associated with significantly less blood loss. Treatment outcomes in terms of infection, length of stay, operative cost, and final alignment between the open and percutaneous group were similar.http://dx.doi.org/10.1155/2018/5023908 |
| spellingShingle | Jeffrey M. Pearson Thomas E. Niemeier Gerald McGwin Sakthivel Rajaram Manoharan Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies Advances in Orthopedics |
| title | Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies |
| title_full | Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies |
| title_fullStr | Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies |
| title_full_unstemmed | Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies |
| title_short | Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies |
| title_sort | spinopelvic dissociation comparison of outcomes of percutaneous versus open fixation strategies |
| url | http://dx.doi.org/10.1155/2018/5023908 |
| work_keys_str_mv | AT jeffreympearson spinopelvicdissociationcomparisonofoutcomesofpercutaneousversusopenfixationstrategies AT thomaseniemeier spinopelvicdissociationcomparisonofoutcomesofpercutaneousversusopenfixationstrategies AT geraldmcgwin spinopelvicdissociationcomparisonofoutcomesofpercutaneousversusopenfixationstrategies AT sakthivelrajarammanoharan spinopelvicdissociationcomparisonofoutcomesofpercutaneousversusopenfixationstrategies |