ArticleBMC musculoskeletal disorders2021
Functional outcomes and quality of life after surgical treatment of spinopelvic dissociation: a case series with one-year follow-up.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 14 citations in OpenAlex.
- Clinical and radiological outcomes of lumbopelvic fixation in unstable Isler type II and III sacral fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Posterior-only fixation in pelvic fractures: Is it sufficient in lateral compression injuries?Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Observational
- Minimally Invasive and Navigation-Assisted Fracture Stabilization Following Traumatic Spinopelvic Dissociation.Journal of clinical medicine · 2025Review
- Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.Archives of orthopaedic and trauma surgery · 2025Review
- Surgical management strategies for unstable sacral fractures: Case series and surgical guideline.International journal of surgery case reports · 2024Article
- Article
- Outcomes of Lumbosacral Fixation in Patients with Suicidal Jumper's Fractures: A Retrospective Study from a Single Center in Turkey.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Treatment of Unstable Sacral Fractures with Robotically-aided Minimally Invasive Triangular Fixation.Orthopaedic surgery · 2023Article
- Article
- Recent Progress in the Classification and Operation of Sacral Fractures.Emergency medicine international · 2023Review
- What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?Journal of clinical medicine · 2022Article
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8 authors at 1 institution in 1 country.
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Abstract
backgroundSpinopelvic dissociation is a transverse sacral fracture in conjunction with a vertical fracture of the sacrum on both sides, which causes the dissociation of the upper sacrum and spine from the pelvis. The most common causes of these fractures are high energy injuries such as falls from height or motor vehicle accidents. Spinopelvic dissociation is rare and heterogenous with severe associated injuries. The aim of this study was to assess the injury characteristics, changes in the quality of life and functional outcomes in the 1-year period after spinopelvic dissociation. MATERIALS AND
methodsDuring the period of 4 years (January 2016 and January 2020), 17 patients with spinopelvic dissociation were admitted to our centre and included in this single-centre prospective cohort study. One patient died during the admission; therefore 16 patients were enrolled in the analysis. Patients were followed-up for 12 months. The quality of life changes were evaluated via the SF-36 questionnaire, and the functional outcomes were evaluated using the Majeed pelvic score. Patients completed their questionnaires twice: firstly during hospitalization (regarding their pre-traumatic condition); and once again 1 year after their injury (regarding their current condition).
resultsThe mean age of the patients was 40.2 ± 17.7 years. Mean Majeed, PCS and MCS scores of SF-36 before the injury were 95.81 ± 9.50, 55.87 ± 8.89, and 43.76 ± 12.45, respectively. Mean Majeed, PCS and MCS scores 1 year after the injury were 71.13 ± 20.98, 43.45 ± 9.64, and 43.41 ± 7.56. During the period of 1 year after the injury, Majeed and PCS results reduced statistically significantly (P = 0.001 and P = 0.003, respectively), while MCS results remained similar (P = 0.501).
conclusionsAccording to the data of our study, for patients with spinopelvic dissociation functional outcomes are significantly reduced and only one-third of the patients achieved pre-traumatic functional outcomes 1 year after the injury.
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