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Treatment of Pelvic Ring Fracture Using Spinopelvic Fixation (Types of Fixation, Indications, Functional Results, Mechanical Characteristics)
Weisová, Drahomíra ; Pavelka, Tomáš (advisor) ; Douša, Pavel (referee) ; Chaloupka, Richard (referee)
In the case of a high-energy injury (traffic accident, fall from above), a pelvic ring injury with vertical instability and/or a sacrum injury with spinopelvic instability may occur. Such instabilities threaten the basic functions of the pelvic ring and lumbosacral junction. Adequate transmission of body and limb load is not possible through such injured segments. The solution is some form of reduction and stabilization to achieve the restoration of anatomical conditions and a gentle and firm connection. Spinopelvic dissociation in some cases accompanying pelvic ring fractures and / or damages is a complex injury with a difficult solution. The frequency of occurrence is reported in the literature 2.9-3.1 %. The number of such accidents is on the rise with higher density and aggressiveness of traffic, the great popularity of dangerous human activities and the accelerating pace of life. Most of these fractures are treated surgically, non-surgical treatment is reserved only for patients who are unable to undergo surgery for internal or local reasons. In our study group, we evaluated a group of patients with a pelvic ring fracture and / or sacral fracture with spinopelvic dissociation who were treated at our workplace in the period 2009- 2019. During this period, 222 patients with a pelvic fracture...
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