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http://dx.doi.org/10.1016/j.asjsur.2022.05.057DOI Listing

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Article Synopsis
  • A 53-year-old man experienced bilateral sacroiliac fracture-dislocations and initially had open reduction internal fixation but faced loss of fixation afterwards.
  • A revision procedure was performed using pelvic brim screws and robotic-assisted lumbopelvic fixation, resulting in minimal blood loss and soft-tissue injury.
  • At a 3-month follow-up, the patient had fully healed and was able to bear weight, demonstrating that the combination of percutaneous SI screws and robotic techniques effectively managed his injuries with fewer complications.
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Objectives: Historically, fractures causing lumbopelvic dissociation have been managed with open lumbosacral fusion and instrumentation. Our aim was to evaluate outcomes and complications following surgical management of unstable transverse sacral fractures with percutaneous lumbopelvic fixation.

Methods: Design: Retrospective case series.

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Purpose: To review outcomes of spinopelvic dissociation treated with open lumbopelvic fixation.

Methods: We reviewed all cases of spinopelvic dissociation treated at three Level-I trauma centers with open lumbopelvic fixation, including those with adjunctive percutaneous fixation. We collected demographic data, associated injuries, pre- and postoperative neurologic status, pre- and postoperative kyphosis, and Roy-Camille classification.

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Introduction: Patellofemoral pain syndrome (PFPS) is prevalent in physically active people. The multifactorial nature of PFPS necessitates multimodal treatment for this condition. The present study aimed to compare the efficacy of lumbopelvic manipulation alone versus manipulation plus dry needling in physically active patients with PFPS.

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Introduction: Sacral fractures, which can occur in young individuals following road traffic accidents or falls from a height, as well as in elderly individuals with osteoporosis after minor trauma, are considered a diverse type of fracture. The incidence of non-osteoporotic sacral fractures is estimated to be 2.1/100,000 people, whereas osteoporotic fractures are estimated to affect 1-5% of elderly individuals at risk.

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