{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T02:41:47Z","timestamp":1784256107502,"version":"3.55.0"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"DOI":"10.1007\/s00402-024-05211-x","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T13:02:31Z","timestamp":1707915751000},"page":"1627-1635","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Posterior pelvic ring injuries, lumbosacral junction instabilities and stabilization techniques for spinopelvic dissociation: a narrative review"],"prefix":"10.1007","volume":"144","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6788-5200","authenticated-orcid":false,"given":"Periklis","family":"Godolias","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Pl\u00fcmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Cibura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Dudda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas A.","family":"Schildhauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens R.","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"5211_CR1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000217949.31762.be","author":"C Bellabarba","year":"2006","unstructured":"Bellabarba C, Schildhauer TA, Vaccaro AR, Chapman JR (2006) Complications associated with surgical stabilization of high-grade sacral fracture dislocations with Spino-Pelvic Instability. Spine (Phila Pa 1976). https:\/\/doi.org\/10.1097\/01.brs.0000217949.31762.be","journal-title":"Spine (Phila Pa 1976)"},{"key":"5211_CR2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02581-5","author":"Y Peng","year":"2021","unstructured":"Peng Y, Zhang G, Zhang S, Ji X, Li J, Du C et al (2021) Biomechanical study of transsacral-transiliac screw fixation versus lumbopelvic fixation and bilateral triangular fixation for \u201cH\u201d- and \u201cU\u201d-type sacrum fractures with traumatic spondylopelvic dissociation: a finite element analysis study. J Orthop Surg Res. https:\/\/doi.org\/10.1186\/s13018-021-02581-5","journal-title":"J Orthop Surg Res"},{"key":"5211_CR3","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1186\/s13018-023-03523-z","volume":"18","author":"B Shi","year":"2023","unstructured":"Shi B, Peng Y, Zhang G, Zhang S, Luo Y, Lv F et al (2023) Spinopelvic dissociation: extended definition, physical examination, classification, and therapy. J Orthop Surg Res 18:56. https:\/\/doi.org\/10.1186\/s13018-023-03523-z","journal-title":"J Orthop Surg Res"},{"key":"5211_CR4","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.5.190064","author":"E Santolini","year":"2020","unstructured":"Santolini E, Kanakaris NK, Giannoudis PV (2020) Sacral fractures: issues, challenges, solutions. EFORT Open Rev. https:\/\/doi.org\/10.1302\/2058-5241.5.190064","journal-title":"EFORT Open Rev"},{"key":"5211_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-012-2335-4","author":"M Dudda","year":"2013","unstructured":"Dudda M, Hoffmann M, Schildhauer TA (2013) Sakrumfrakturen und lumbopelvine Instabilit\u00e4ten bei Beckenringverletzungen. Unfallchirurg. https:\/\/doi.org\/10.1007\/s00113-012-2335-4","journal-title":"Unfallchirurg"},{"key":"5211_CR6","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5023908","author":"JM Pearson","year":"2018","unstructured":"Pearson JM, Niemeier TE, McGwin G, Rajaram Manoharan S (2018) Spinopelvic dissociation: comparison of outcomes of percutaneous versus open fixation strategies. Adv Orthop. https:\/\/doi.org\/10.1155\/2018\/5023908","journal-title":"Adv Orthop"},{"key":"5211_CR7","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181a1407d","author":"KA Lefaivre","year":"2009","unstructured":"Lefaivre KA, Starr AJ, Reinert CM (2009) Reduction of displaced pelvic ring disruptions using a pelvic reduction frame. J Orthop Trauma. https:\/\/doi.org\/10.1097\/BOT.0b013e3181a1407d","journal-title":"J Orthop Trauma"},{"key":"5211_CR8","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200301000-00004","author":"TA Schildhauer","year":"2003","unstructured":"Schildhauer TA, Ledoux WR, Chapman JR, Henley MB, Tencer AF, Routt CML (2003) Triangular osteosynthesis and iliosacral screw fixation for unstable sacral fractures: a cadaveric and biomechanical evaluation under cyclic loads. J Orthop Trauma. https:\/\/doi.org\/10.1097\/00005131-200301000-00004","journal-title":"J Orthop Trauma"},{"key":"5211_CR9","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00366","author":"DTS Chou","year":"2018","unstructured":"Chou DTS, El-Daly I, Ranganathan A, Montgomery A, Culpan P, Bates P (2018) Spinopelvic dissociation. J Am Acad Orthop Surgeons. https:\/\/doi.org\/10.5435\/JAAOS-D-16-00366","journal-title":"J Am Acad Orthop Surgeons"},{"key":"5211_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-012-2337-2","author":"MF Hoffmann","year":"2013","unstructured":"Hoffmann MF, Dudda M, Schildhauer TA (2013) Unilaterale triangul\u00e4re lumbopelvine Stabilisierung. Unfallchirurg. https:\/\/doi.org\/10.1007\/s00113-012-2337-2","journal-title":"Unfallchirurg"},{"key":"5211_CR11","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-019-0064-8","author":"C Baethge","year":"2019","unstructured":"Baethge C, Goldbeck-Wood S, Mertens S (2019) SANRA\u2014a scale for the quality assessment of narrative review articles. Res Integr Peer Rev. https:\/\/doi.org\/10.1186\/s41073-019-0064-8","journal-title":"Res Integr Peer Rev"},{"key":"5211_CR12","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198511000-00011","author":"R Roy-Camille","year":"1985","unstructured":"Roy-Camille R, Saillant G, Gagna G, Mazel C (1985) Transverse Fracture of the Upper Sacrum. Spine (Phila Pa 1976). https:\/\/doi.org\/10.1097\/00007632-198511000-00011","journal-title":"Spine (Phila Pa 1976)"},{"key":"5211_CR13","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1097\/00003086-198802000-00010","volume":"227","author":"F Denis","year":"1988","unstructured":"Denis F, Davis S, Comfort T (1988) Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res 227:67\u201381","journal-title":"Clin Orthop Relat Res"},{"key":"5211_CR14","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1097\/00005131-200502000-00011","volume":"19","author":"TA Schildhauer","year":"2005","unstructured":"Schildhauer TA, Chapman JR, Mayo KA (2005) Multisegmental open sacral fracture due to impalement. J Orthop Trauma 19:134\u2013139. https:\/\/doi.org\/10.1097\/00005131-200502000-00011","journal-title":"J Orthop Trauma"},{"key":"5211_CR15","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199003000-00001","author":"B Isler","year":"1990","unstructured":"Isler B (1990) Lumbosacral lesions associated with pelvic ring injuries. J Orthop Trauma. https:\/\/doi.org\/10.1097\/00005131-199003000-00001","journal-title":"J Orthop Trauma"},{"key":"5211_CR16","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199105020-00014","author":"HH Strange-Vognsen","year":"1991","unstructured":"Strange-Vognsen HH, Lebech A (1991) An unusual type of fracture in the upper sacrum. J Orthop Trauma. https:\/\/doi.org\/10.1097\/00005131-199105020-00014","journal-title":"J Orthop Trauma"},{"key":"5211_CR17","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.2106\/JBJS.19.01153","volume":"102","author":"AR Vaccaro","year":"2020","unstructured":"Vaccaro AR, Schroeder GD, Divi SN et al (2020) Description and reliability of the AOSpine Sacral Classification System. J Bone Joint Surg 102:1454\u20131463. https:\/\/doi.org\/10.2106\/JBJS.19.01153","journal-title":"J Bone Joint Surg"},{"key":"5211_CR18","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.06.023","author":"PM Rommens","year":"2013","unstructured":"Rommens PM, Hofmann A (2013) Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment. Injury. https:\/\/doi.org\/10.1016\/j.injury.2013.06.023","journal-title":"Injury"},{"key":"5211_CR19","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2012.01.009","author":"RA Lehman","year":"2012","unstructured":"Lehman RA, Kang DG, Bellabarba C (2012) A new classification for complex lumbosacral injuries. Spine J. https:\/\/doi.org\/10.1016\/j.spinee.2012.01.009","journal-title":"Spine J"},{"key":"5211_CR20","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1007\/s100390050085","volume":"2","author":"E Euler","year":"2000","unstructured":"Euler E, Heining S, Kotsianos D, M\u00fcller-Gerbl M (2000) Anatomie und Biomechanik des Beckens. Trauma Und Berufskrankheiten 2:2\u201310","journal-title":"Trauma Und Berufskrankheiten"},{"key":"5211_CR21","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1007\/s00586-011-1928-x","volume":"20","author":"P Roussouly","year":"2011","unstructured":"Roussouly P, Pinheiro-Franco JL (2011) Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. Eur Spine J 20:609\u2013618. https:\/\/doi.org\/10.1007\/s00586-011-1928-x","journal-title":"Eur Spine J"},{"key":"5211_CR22","doi-asserted-by":"publisher","first-page":"1925","DOI":"10.1177\/21925682221076414","volume":"12","author":"RM Kanna","year":"2022","unstructured":"Kanna RM, Rajasekaran S, Schroeder GD, Schnake K, Vaccaro AR, Benneker L et al (2022) Lumbo-sacral junction instability by traumatic sacral fractures: Isler\u2019s classification revisited\u2014a narrative review. Global Spine J 12:1925\u20131933. https:\/\/doi.org\/10.1177\/21925682221076414","journal-title":"Global Spine J"},{"key":"5211_CR23","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1186\/s13018-021-02581-5","volume":"16","author":"Y Peng","year":"2021","unstructured":"Peng Y, Zhang G, Zhang S, Ji X, Li J, Du C et al (2021) Biomechanical study of transsacral-transiliac screw fixation versus lumbopelvic fixation and bilateral triangular fixation for \u201cH\u201d- and \u201cU\u201d-type sacrum fractures with traumatic spondylopelvic dissociation: a finite element analysis study. J Orthop Surg Res 16:428. https:\/\/doi.org\/10.1186\/s13018-021-02581-5","journal-title":"J Orthop Surg Res"},{"key":"5211_CR24","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4327-x","author":"MA K\u00f6nig","year":"2016","unstructured":"K\u00f6nig MA, Sundaram RO, Saville P, Jehan S, Boszczyk BM (2016) Anatomical considerations for percutaneous trans ilio-sacroiliac S1 and S2 screw placement. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-015-4327-x","journal-title":"Eur Spine J"},{"key":"5211_CR25","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1097\/00003086-198905000-00009","volume":"242","author":"JM Matta","year":"1989","unstructured":"Matta JM, Saucedo T (1989) Internal fixation of pelvic ring fractures. Clin Orthop Relat Res 242:83\u201397","journal-title":"Clin Orthop Relat Res"},{"key":"5211_CR26","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/00005131-199604000-00005","volume":"10","author":"MLC Chip","year":"1996","unstructured":"Chip MLC, Simonian PT, Agnew SG, Mann FA (1996) Radiographic recognition of the sacral alar slope for optimal placement of iliosacral screws: a cadaveric and clinical study. J Orthop Trauma 10:171\u2013177. https:\/\/doi.org\/10.1097\/00005131-199604000-00005","journal-title":"J Orthop Trauma"},{"key":"5211_CR27","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-020-00853-z","author":"S Decker","year":"2020","unstructured":"Decker S, Krettek C, St\u00fcbig T (2020) Minimal-invasive Stabilisierung bei Frakturen des Sakrums. Unfallchirurg. https:\/\/doi.org\/10.1007\/s00113-020-00853-z","journal-title":"Unfallchirurg"},{"key":"5211_CR28","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.03.001","author":"E Guerado","year":"2018","unstructured":"Guerado E, Cervan AM, Cano JR, Giannoudis PV (2018) Spinopelvic injuries. Facts and controversies. Injury. https:\/\/doi.org\/10.1016\/j.injury.2018.03.001","journal-title":"Injury"},{"key":"5211_CR29","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181e47fad","author":"MJ Gardner","year":"2011","unstructured":"Gardner MJ, Routt MLC (2011) Transiliac-Transsacral Screws for Posterior Pelvic Stabilization. J Orthop Trauma. https:\/\/doi.org\/10.1097\/BOT.0b013e3181e47fad","journal-title":"J Orthop Trauma"},{"key":"5211_CR30","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-2125-7","author":"MA K\u00f6nig","year":"2012","unstructured":"K\u00f6nig MA, Jehan S, Boszczyk AA, Boszczyk BM (2012) Surgical management of U-shaped sacral fractures: a systematic review of current treatment strategies. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-011-2125-7","journal-title":"Eur Spine J"},{"key":"5211_CR31","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.16.00119","author":"ID Kaye","year":"2018","unstructured":"Kaye ID, Yoon RS, Stickney W, Snavely J, Vaccaro AR, Liporace FA (2018) Treatment of Spinopelvic dissociation. JBJS Rev. https:\/\/doi.org\/10.2106\/JBJS.RVW.16.00119","journal-title":"JBJS Rev"},{"key":"5211_CR32","doi-asserted-by":"publisher","DOI":"10.1080\/08941939.2019.1569737","author":"R Zhang","year":"2020","unstructured":"Zhang R, Yin Y, Li S, Li A, Hou Z, Zhang Y (2020) Lumbopelvic fixation versus novel adjustable plate for sacral fractures: a retrospective comparative study. J Investig Surg. https:\/\/doi.org\/10.1080\/08941939.2019.1569737","journal-title":"J Investig Surg"},{"key":"5211_CR33","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198405000-00011","author":"BL Allen","year":"1984","unstructured":"Allen BL, Ferguson RL (1984) The galveston technique of pelvic fixation with L-rod instrumentation of the spine. Spine (Phila Pa 1976). https:\/\/doi.org\/10.1097\/00007632-198405000-00011","journal-title":"Spine (Phila Pa 1976)"},{"key":"5211_CR34","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200608000-00001","author":"TA Schildhauer","year":"2006","unstructured":"Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Chip Routt ML, Chapman JR (2006) Decompression and lumbopelvic fixation for sacral fracture-dislocations with spino-pelvic dissociation. J Orthop Trauma. https:\/\/doi.org\/10.1097\/00005131-200608000-00001","journal-title":"J Orthop Trauma"},{"key":"5211_CR35","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00863","author":"MA Quacinella","year":"2020","unstructured":"Quacinella MA, Morrissey PB, Parry JA, Mauffrey C (2020) Spinopelvic dissociation: assessment, reduction strategies, and fixation techniques. J Am Acad Orthop Surg. https:\/\/doi.org\/10.5435\/JAAOS-D-19-00863","journal-title":"J Am Acad Orthop Surg"},{"key":"5211_CR36","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.5621","author":"DS Shah","year":"2019","unstructured":"Shah DS, Bates T, Fowler J, Osborn P, Jorgensen AY (2019) Minimally invasive lumbopelvic fixation for unstable U-type sacral fractures. Cureus. https:\/\/doi.org\/10.7759\/cureus.5621","journal-title":"Cureus"},{"key":"5211_CR37","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-013-2495-x","author":"TA Schildhauer","year":"2013","unstructured":"Schildhauer TA (2013) Lumbopelvine Fixation bei hinteren Beckenringfrakturen und lumbosakraler Instabilit\u00e4t. Unfallchirurg. https:\/\/doi.org\/10.1007\/s00113-013-2495-x","journal-title":"Unfallchirurg"},{"key":"5211_CR38","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00293","author":"HC B\u00e4cker","year":"2021","unstructured":"B\u00e4cker HC, Vosseller JT, Deml MC, Perka C, Putzier M (2021) Spinopelvic dissociation: a systematic review and meta-analysis. J Am Acad Orthop Surg. https:\/\/doi.org\/10.5435\/JAAOS-D-19-00293","journal-title":"J Am Acad Orthop Surg"},{"key":"5211_CR39","doi-asserted-by":"publisher","DOI":"10.1111\/os.12392","author":"W Tian","year":"2018","unstructured":"Tian W, Chen W, Jia J (2018) Traumatic Spino-pelvic dissociation with bilateral triangular fixation. Orthop Surg. https:\/\/doi.org\/10.1111\/os.12392","journal-title":"Orthop Surg"},{"key":"5211_CR40","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.07.065","author":"A von Glinski","year":"2021","unstructured":"von Glinski A, Pierre C, Frieler S, Mahoney JM, Harris JA, Amin DB et al (2021) Fixation strength of modified iliac screw trajectory compared to traditional iliac and S2 alar-iliac trajectories: a cadaveric study. World Neurosurg. https:\/\/doi.org\/10.1016\/j.wneu.2021.07.065","journal-title":"World Neurosurg"},{"key":"5211_CR41","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1016\/j.recot.2013.08.001","volume":"57","author":"I Cearra","year":"2013","unstructured":"Cearra I, Alonso R, Mart\u00ednez-Ogalla D, Hoyos J, Lauzirika A, Mongil R et al (2013) Fractura de sacro con disociaci\u00f3n esp\u00f3ndilo-p\u00e9lvica. Revisi\u00f3n de la literatura. Rev Esp Cir Ortop Traumatol 57:434\u2013442. https:\/\/doi.org\/10.1016\/j.recot.2013.08.001","journal-title":"Rev Esp Cir Ortop Traumatol"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05211-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-024-05211-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05211-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T15:18:26Z","timestamp":1711466306000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-024-05211-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,14]]},"references-count":41,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4]]}},"alternative-id":["5211"],"URL":"https:\/\/doi.org\/10.1007\/s00402-024-05211-x","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,14]]},"assertion":[{"value":"20 September 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}