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) that are potentially life-treating. Due to the intimate relationship of the lumbosacral osseous components with the neural structures and the critical role played by the pelvis in transmitting forces between the spine and lower limbs, injuries in this
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definitively treated, waiting for the surgical team (appropriate specialists) to be available, or waiting for the patient’s transfer to a referral centre. 1 – 5 Basic concepts Temporary EF of the pelvis can be life-saving for a haemodynamically
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and Maffucci’s syndrome may have up to a 40% risk of developing chondrosarcoma. 13 Fig. 1 (a) X-ray of secondary chondrosarcoma developing in a prior osteochondroma of the pelvis. (b) MRI showing an axial T2 image of secondary chondrosarcoma
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encounter, pelvic discontinuity (PD) is the most challenging. Pelvic discontinuity or pelvis dissociation refers to the loss of structural continuity between the superior and inferior portions of the pelvis. 4 Such disruption can occur either acutely
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be established. When there is a difference between the actual and functional limb length, pelvic obliquity may be evaluated by comparing the level of both hemi pelvises with patient standing and sitting. 1 Preoperative planning allows prediction
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therapeutic value. 13 Diagnosing symptomatic patients can often be done by a clinical history and a few radiographs of the hip and pelvis ( Figs 1 and 2 ), but an abundance of hip projections exists together with many other modalities (x-ray CT, MRI
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has gained interest as changes in posture lead to alteration in the position of the pelvis and thus influence cup orientation ( 13 , 14 ). Cup orientation affects joint mechanics, influencing impingement-risk ( 15 ) and thus wear, pain, and
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region, (4) tumour endoprostheses in the pelvis, (5) (expandable) prostheses in children and (6) long-term results of tumour endoprostheses. Primary literature research was performed by the first author of the study (MAS), including study selection over
Hospital del Trabajador, Santiago, Chile
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regional (cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic incidence, pelvic tilt and sacral slope) and global (SVA [sacral vertical axis] and T1-pelvis angle), the relationship between them, the implication of physiological ageing of the VC on
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classification (Fragility Fractures of the Pelvis) especially integrates osteoporotic insufficiency fractures into the categorization of the injury. While the FFP classification provides some advantages in the elderly, an evaluation of the benefit is under