Management of Spinopelvic Dissociation Injuries

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Spinopelvic dissociation (SPD) represents a complex pattern of injury that involves separation of the lumbar spine from the pelvis through multiplanar fractures of the sacrum. These injuries are typically caused by very high-energy trauma, and as a result, are relatively rare. Appropriate management of SPD may involve both orthopaedic trauma surgeons as well as spine surgeons, and this involvement of different subspecialty providers may introduce inconsistencies in the approach to treatment. While a multidisciplinary approach would likely benefit many patients, not all centers can offer this level of comprehensive care.

The goal of our investigation is to examine current practice patterns in the management of spinopelvic dissociation injuries. Our survey focuses on the general approach to spinopelvic dissociation and presents a series of cases to assess how surgeons may approach a variety of clinical scenarios. We hope to distribute the survey to orthopaedic trauma surgeons through the OTA and to spine surgeons through AO Spine or other subspecialty spine society. By including both subspecialty populations, we aim to better understand differences in management of these complex injuries, specifically the indications, surgical approaches, and the level of multidisciplinary involvement.

Target population: OTA members.