Innominosacral dissociation: Mechanism of injury as a predictor of resuscitation requirements, morbidity, and mortality

M. Gordon Whitbeck, H. Jay Zwally, Andrew R. Burgess

Research output: Contribution to journalArticle

Abstract

Objectives: To assess mechanism of injury as a clinical course predictor in patients with complete anterior and posterior pelvic ring disruptions [innominosacral dissociation (ISD)]. Design: Retrospective review of radiographs and medical data. Setting: R Adams Cowley Shock Trauma Center, Baltimore, Maryland, statewide trauma center. Patients: Forty-three patients with ISD were admitted to our institution between August 1986 and October 1991. Five patients were excluded because of incomplete medical records (4) or refusal of blood transfusion (1). Intervention: Injuries were grouped according to the Young classification: 18 anteroposterior compression (APC), 14 vertical shear (VS), and 6 other injuries. Main Outcome Measurements: The mean blood replacement requirements, incidence of multiple organ system failure, mortality rate, and length of hospital stay for each injury classification were comapared. Results: The mean ISS was 34, and the mean 24-hour packed red blood cell transfusion requirement was 12.6 units. Thirteen patients (34.4%) developed multisystem organ failure. Eight patients (21%) died. Patients in the APC group were more likely to require > 10 units of blood (15/18, p = 0.001, and those in the VS group were more likely to receive

Original languageEnglish (US)
JournalJournal of Orthopaedic Trauma
Volume20
Issue numberSUPPL.1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Fingerprint

Resuscitation
Morbidity
Mortality
Wounds and Injuries
Trauma Centers
Length of Stay
Erythrocyte Transfusion
Baltimore
Multiple Organ Failure
Blood Transfusion
Medical Records
Shock
Incidence

Keywords

  • Associated injuries
  • Innominosacral dissociation
  • Pelvic ring classification
  • Pelvic ring disruption

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Innominosacral dissociation : Mechanism of injury as a predictor of resuscitation requirements, morbidity, and mortality. / Whitbeck, M. Gordon; Zwally, H. Jay; Burgess, Andrew R.

In: Journal of Orthopaedic Trauma, Vol. 20, No. SUPPL.1, 01.2006.

Research output: Contribution to journalArticle

@article{a1c053f5f9a24826bc714f5bb229599e,
title = "Innominosacral dissociation: Mechanism of injury as a predictor of resuscitation requirements, morbidity, and mortality",
abstract = "Objectives: To assess mechanism of injury as a clinical course predictor in patients with complete anterior and posterior pelvic ring disruptions [innominosacral dissociation (ISD)]. Design: Retrospective review of radiographs and medical data. Setting: R Adams Cowley Shock Trauma Center, Baltimore, Maryland, statewide trauma center. Patients: Forty-three patients with ISD were admitted to our institution between August 1986 and October 1991. Five patients were excluded because of incomplete medical records (4) or refusal of blood transfusion (1). Intervention: Injuries were grouped according to the Young classification: 18 anteroposterior compression (APC), 14 vertical shear (VS), and 6 other injuries. Main Outcome Measurements: The mean blood replacement requirements, incidence of multiple organ system failure, mortality rate, and length of hospital stay for each injury classification were comapared. Results: The mean ISS was 34, and the mean 24-hour packed red blood cell transfusion requirement was 12.6 units. Thirteen patients (34.4{\%}) developed multisystem organ failure. Eight patients (21{\%}) died. Patients in the APC group were more likely to require > 10 units of blood (15/18, p = 0.001, and those in the VS group were more likely to receive",
keywords = "Associated injuries, Innominosacral dissociation, Pelvic ring classification, Pelvic ring disruption",
author = "Whitbeck, {M. Gordon} and Zwally, {H. Jay} and Burgess, {Andrew R.}",
year = "2006",
month = "1",
doi = "10.1097/01.bot.0000202394.70740.35",
language = "English (US)",
volume = "20",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",
number = "SUPPL.1",

}

TY - JOUR

T1 - Innominosacral dissociation

T2 - Mechanism of injury as a predictor of resuscitation requirements, morbidity, and mortality

AU - Whitbeck, M. Gordon

AU - Zwally, H. Jay

AU - Burgess, Andrew R.

PY - 2006/1

Y1 - 2006/1

N2 - Objectives: To assess mechanism of injury as a clinical course predictor in patients with complete anterior and posterior pelvic ring disruptions [innominosacral dissociation (ISD)]. Design: Retrospective review of radiographs and medical data. Setting: R Adams Cowley Shock Trauma Center, Baltimore, Maryland, statewide trauma center. Patients: Forty-three patients with ISD were admitted to our institution between August 1986 and October 1991. Five patients were excluded because of incomplete medical records (4) or refusal of blood transfusion (1). Intervention: Injuries were grouped according to the Young classification: 18 anteroposterior compression (APC), 14 vertical shear (VS), and 6 other injuries. Main Outcome Measurements: The mean blood replacement requirements, incidence of multiple organ system failure, mortality rate, and length of hospital stay for each injury classification were comapared. Results: The mean ISS was 34, and the mean 24-hour packed red blood cell transfusion requirement was 12.6 units. Thirteen patients (34.4%) developed multisystem organ failure. Eight patients (21%) died. Patients in the APC group were more likely to require > 10 units of blood (15/18, p = 0.001, and those in the VS group were more likely to receive

AB - Objectives: To assess mechanism of injury as a clinical course predictor in patients with complete anterior and posterior pelvic ring disruptions [innominosacral dissociation (ISD)]. Design: Retrospective review of radiographs and medical data. Setting: R Adams Cowley Shock Trauma Center, Baltimore, Maryland, statewide trauma center. Patients: Forty-three patients with ISD were admitted to our institution between August 1986 and October 1991. Five patients were excluded because of incomplete medical records (4) or refusal of blood transfusion (1). Intervention: Injuries were grouped according to the Young classification: 18 anteroposterior compression (APC), 14 vertical shear (VS), and 6 other injuries. Main Outcome Measurements: The mean blood replacement requirements, incidence of multiple organ system failure, mortality rate, and length of hospital stay for each injury classification were comapared. Results: The mean ISS was 34, and the mean 24-hour packed red blood cell transfusion requirement was 12.6 units. Thirteen patients (34.4%) developed multisystem organ failure. Eight patients (21%) died. Patients in the APC group were more likely to require > 10 units of blood (15/18, p = 0.001, and those in the VS group were more likely to receive

KW - Associated injuries

KW - Innominosacral dissociation

KW - Pelvic ring classification

KW - Pelvic ring disruption

UR - http://www.scopus.com/inward/record.url?scp=33646836450&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646836450&partnerID=8YFLogxK

U2 - 10.1097/01.bot.0000202394.70740.35

DO - 10.1097/01.bot.0000202394.70740.35

M3 - Article

C2 - 16385209

AN - SCOPUS:33646836450

VL - 20

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

IS - SUPPL.1

ER -