This is a retrospective assessment of prospectively collected data in 19 consecutive patients with Denis zone 3 sacral fracture dislocations and cauda equina syndrome, treated with neural element decompression and segmental stabilization of the lumbopelvic junction through a posterior midline approach. Patients were assessed for complications regarding surgical care, as well as clinical and radiographic outcomes. Although 83% of patients had improvement neurologically, impaired wound healing or deep wound infections occurred in 27%, and rod breakage was identified in 30%. The overall goals of restoring a stable, physiologically functional lumbopelvic junction with early brace-free mobilization was achieved.
Go to Full Text of this Article