Traumatic lumbosacral instability: part 2-indications and

Arch Orthop Trauma Surg · Feb 2025

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Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.

Traumatic lumbosacral instability (TLSI) refers to a traumatic disruption of the axial skeleton at the level of the lumbosacral motion segment and/or sacrum, resulting in mechanical separation of the caudal spinal column from the posterior pelvic ring. Managing TLSI and its four underlying conditions poses unique challenges among spinal and pelvic injuries. This second part of a two-part series focuses on treatment strategies and decision making in TLSI, with an emphasis on surgical stabilization techniques. The primary objectives of this article are to: (1) elucidate factors influencing clinical decision-making, (2) synthesize current treatment options for the injury patterns underlying TLSI, and (3) briefly outline expected outcomes and complications.

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- Richard A Lindtner, Dietmar Krappinger, Jan Lindahl, and Carlo Bellabarba.
- Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria. richard.lindtner@i-med.ac.at.
- Arch Orthop Trauma Surg. 2025 Feb 1; 145 (1): 152152.
AbstractTraumatic lumbosacral instability (TLSI) refers to a traumatic disruption of the axial skeleton at the level of the lumbosacral motion segment and/or sacrum, resulting in mechanical separation of the caudal spinal column from the posterior pelvic ring. Managing TLSI and its four underlying conditions poses unique challenges among spinal and pelvic injuries. This second part of a two-part series focuses on treatment strategies and decision making in TLSI, with an emphasis on surgical stabilization techniques. The primary objectives of this article are to: (1) elucidate factors influencing clinical decision-making, (2) synthesize current treatment options for the injury patterns underlying TLSI, and (3) briefly outline expected outcomes and complications.© 2025. The Author(s).

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Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.

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