Contemporary less invasive spinal instrumentation for AO C-type posterior pelvic ring injuries

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ORIGINAL ARTICLE

Contemporary less invasive spinal instrumentation for AO C‑type posterior pelvic ring injuries Panagiotis Korovessis1   · Petros Spastris2 · Vasileios Syrimpeis1 · Vasileios Tsekouras1 · Savvas Petrou2 Received: 8 June 2019 / Revised: 10 August 2019 / Accepted: 5 October 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019

Abstract Objective  This study evaluates efficacy and safety of contemporary spinal instrumentation for AO/type C posterior pelvic ring (PPR) injuries. Methods  Twenty-two consecutive patients, aged 36 ± 17 years, were managed with spinal instrumentation with spinopelvic fixation (SPF) or non-spinopelvic fixation (NSPF) and less invasive surgery. There were 16 vertically unstable sacral fractures and six iliosacral dislocations. Matta score was used for fragment diastasis and Majeed’s score for functional outcome evaluation. Results  All patients were followed for 61 ± 8 months postoperatively. The operative time was less in NSPF (P