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oai:riuma.uma.es:10630/297632026-02-03T11:12:42Zcom_10630_2254col_10630_37953

L4 fixation is not necessary in L5-Iliac spinopelvic fixation after trauma, but coadjutant transilio-transsacral fixation is Sevillano-Pérez, Enrique Prado-Novoa, María Postigo-Pozo, Sergio Peña Trabalón, Alejandro Guerado-Parra, Enrique Huesos pélvicos Traumatología Cirugía Columna vertebral - Cirugía Spinopelvic dissociation (SPD) is a severe injury characterized by a discontinuity between the spine and the bony pelvis consisting of a bilateral longitudinal sacral fracture, most of the times through sacral neuroforamen, and a horizontal fracture, usually through the S1 or S2 body.. Since SPD results after high energy injuries, like a fall from height, traffic accidents or blast injuries , most of the times it is found in a polytraumatized patient, associated with other life-threatening injuries Conservative treatment is chosen only in patients who are not fit for surgery or have concomitant injuries that will require a period of immobilization longer than three months and in those presenting mild displacement at the fracture sites]. Otherwise, SPD lesions are best treated by surgical procedures. 2024-02-05T09:24:18Z 2024-02-05T09:24:18Z 2024-02-05T09:24:18Z 2024-01-24 journal article Enrique Sevillano-Perez, Maria Prado-Novoa, Sergio Postigo-Pozo, Alejandro Peña-Trabalon, Enrique Guerado, L4 fixation is not necessary in L5-Iliac spinopelvic fixation after trauma, but coadjutant transilio-transsacral fixation is, Injury, Volume 55, Issue 3, 2024, 111378, ISSN 0020-1383, https://doi.org/10.1016/j.injury.2024.111378 https://hdl.handle.net/10630/29763 10.1016/j.injury.2024.111378 eng http://creativecommons.org/licenses/by/4.0/ open access Atribución 4.0 Internacional Elsevier