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Beucler N. Spino-pelvic triangular fixation for unstable U-shaped sacral fractures and Tile C pelvic ring disruptions: The relentless pursuit of vertical, lateral, and anteflexion rotational stability. N Am Spine Soc J 2023; 16:100264. [PMID: 37711283 PMCID: PMC10497840 DOI: 10.1016/j.xnsj.2023.100264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 08/14/2023] [Accepted: 08/14/2023] [Indexed: 09/16/2023]
Affiliation(s)
- Nathan Beucler
- Neurosurgery department, Sainte-Anne Military Teaching Hospital, 2 boulevard Sainte-Anne, 83800 Toulon Cedex 9, France
- Ecole du Val-de-Grâce, French Military Health Service Academy, 1 place Alphonse Laveran, 75230 Paris Cedex 5, France
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Sun N, Liu Y, Yan H, Zhang Z, Li Y, Zeng C. Recent Progress in the Classification and Operation of Sacral Fractures. Emerg Med Int 2023; 2023:2795722. [PMID: 36950069 PMCID: PMC10024997 DOI: 10.1155/2023/2795722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 01/31/2023] [Accepted: 02/17/2023] [Indexed: 03/14/2023] Open
Abstract
Most sacral fractures are caused by high-energy, violent injuries, often accompanied by lumbosacral plexus injuries, which can cause instability of the posterior pelvic ring or lumbosacral junction in severe cases. Currently, the most commonly used clinical classification methods are Denis classification, Tile classification, Isler classification, and Denis II classification. In recent years, lumbosacral vertebral injury classification and injury degree scoring systems have often been applied clinically as the choice of treatment methods. At present, the internal fixation and implantation methods of sacral fracture are developing in the direction of positive, efficient, safe, and minimally invasive. But different fixation methods have their own indications, which should be strictly followed. This article reviews the classification of sacral fractures and the latest progress in surgical treatment.
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Affiliation(s)
- Nian Sun
- 1Department of Foot and Ankle Surgery, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
- 2Orthopaedic Hospital of Guangdong Province, Guangzhou, China
| | - Yijun Liu
- 1Department of Foot and Ankle Surgery, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
- 2Orthopaedic Hospital of Guangdong Province, Guangzhou, China
| | - Haohan Yan
- 1Department of Foot and Ankle Surgery, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
- 2Orthopaedic Hospital of Guangdong Province, Guangzhou, China
| | - Zhiqiang Zhang
- 1Department of Foot and Ankle Surgery, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
- 2Orthopaedic Hospital of Guangdong Province, Guangzhou, China
| | - Yanbing Li
- 3National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou 510000, China
| | - Canjun Zeng
- 1Department of Foot and Ankle Surgery, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
- 2Orthopaedic Hospital of Guangdong Province, Guangzhou, China
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