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Growing rod technique for the treatment of the traumatic spinopelvic dissociation: a technical trick.

Authors
 Hwan Yong Chung  ;  Kyung-Soo Suk  ;  Hwan-Mo Lee  ;  Hak-Sun Kim  ;  Woo-Chul Jung  ;  Seong-Hwan Moon  ;  Byung Ho Lee 
Citation
 Spine Journal, Vol.16(3) : 209-214, 2016 
Journal Title
 Spine Journal 
ISSN
 1529-9430 
Issue Date
2016
MeSH
Accidental Falls ; Adult ; Decompression, Surgical ; Female ; Fracture Fixation, Internal/methods* ; Humans ; Pedicle Screws* ; Radiography ; Sacrum/diagnostic imaging ; Sacrum/injuries ; Sacrum/surgery* ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery* ; Spinal Fusion/methods*
Keywords
Growing rod ; Sacrum ; Spinopelvic dissociation
Abstract
BACKGROUND CONTEXT: Traumatic spinopelvic dissociation, sometimes referred to as U-shaped sacral fracture, is a very rare high-energy trauma. The surgical management of spinopelvic dissociation includes decompression, reduction, and fixation. PURPOSE: We report a novel surgical technique for the treatment of spinopelvic dissociation that uses growing rods and a pedicle screw system, which is often used to treat patients with early onset scoliosis. STUDY DESIGN: This case report used a technical report of spinopelvic dissociation surgery using spinopelvic fixation and the growing rod technique. PATIENT SAMPLE: One case was used as the patient sample. OUTCOME MEASURE: Radiographic outcomes, including plain X-ray, three-dimensional computed tomography, and magnetic resonance imaging scan were the outcome measures. METHODS: The radiographic outcomes were compared preoperatively, postoperatively, and at the 1-year follow-up with bony union. RESULTS: Growing techniques improved traumatic sacral angulation, displacement, and canal encroachment, and provided sufficient structural support. CONCLUSION: The growing rod technique for spinopelvic dissociation under intraoperative neurophysiological monitoring could be a useful alternative surgical option, especially in patients without neurologic deficit.
Full Text
http://www.sciencedirect.com/science/article/pii/S1529943015016435
DOI
10.1016/j.spinee.2015.10.058
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
김학선(Kim, Hak Sun) ORCID logo https://orcid.org/0000-0002-8330-4688
문성환(Moon, Seong Hwan)
석경수(Suk, Kyung Soo) ORCID logo https://orcid.org/0000-0003-0633-2658
이환모(Lee, Hwan Mo) ORCID logo https://orcid.org/0000-0002-5405-3832
정우철(Jung, Woo Chul)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146954
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