Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.

Richard A Lindtner, Dietmar Krappinger, Jan Lindahl, Carlo Bellabarba

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In one paragraph

Review in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Richard A LindtnerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria. richard.lindtner@i-med.ac.at.

Dietmar KrappingerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.

Jan LindahlDepartment of Orthopaedics and Traumatology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Carlo BellabarbaDepartment of Orthopaedics, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA, 98104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic lumbosacral instability (TLSI) refers to a traumatic disruption of the axial skeleton at the level of the lumbosacral motion segment and/or sacrum, resulting in mechanical separation of the caudal spinal column from the posterior pelvic ring. Managing TLSI and its four underlying conditions poses unique challenges among spinal and pelvic injuries. This second part of a two-part series focuses on treatment strategies and decision making in TLSI, with an emphasis on surgical stabilization techniques. The primary objectives of this article are to: (1) elucidate factors influencing clinical decision-making, (2) synthesize current treatment options for the injury patterns underlying TLSI, and (3) briefly outline expected outcomes and complications.

Indexed as

Joint InstabilityLumbar VertebraeSacrumSpinal InjuriesHumansLumbosacral RegionLumbosacral dislocationLumbosacral facet jointSacral fractureSpinopelvic dissociationTraumatic lumbosacral instabilityTreatment

Identifiers

PMID39891772

DOI10.1007/s00402-024-05604-y

PMCPMC11787212

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.