<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022025000500305</article-id>
<article-id pub-id-type="doi">10.35366/121079</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fijación espinopélvica combinada con instrumentación larga en un paciente con lesión multifragmentada de sacro y fracturas múltiples de cuerpos vertebrales lumbares: reporte de caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Combined spinopelvic fixation with long instrumentation in a patient with multifragmentary sacral injury and multiple lumbar vertebral fractures: Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Altamirano-Cruz]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baltazar-Rodríguez]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente Departamento de Cirugía de Pelvis y Politrauma, Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Tecnológico y de Estudios Superiores de Monterrey Escuela de Medicina y Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>39</volume>
<numero>5</numero>
<fpage>305</fpage>
<lpage>312</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022025000500305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022025000500305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022025000500305&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El politraumatismo hace referencia a lesiones significativas de tres o más puntos según Abbreviated Injury Scale (AIS), en dos o más regiones anatómicas y al menos una variable fisiológica. El politraumatismo es por sí solo un reto clínico y terapéutico; sin embargo, la fractura combinada de columna y pelvis conlleva a sus propios desafíos. En la fractura combinada de columna y pelvis puede estar presente una disociación espinopélvica, que se caracteriza por la incapacidad de transmisión de cargas a través de la columna vertebral hacia la pelvis y consecuentemente hacia las extremidades inferiores, interfiriendo con la estabilidad del cuerpo. En este tipo de situaciones clínicas se ha demostrado que las placas y tornillos convencionales no son suficientes. Se ha visto que una fijación larga posterior de columna puede ser una buena alternativa ya que ha demostrado proporcionar mayor estabilidad y una rehabilitación más temprana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Polytrauma refers to significant injuries to three or more points in two or more different AIS anatomical regions along with physiological variables. Polytrauma presents a clinical and therapeutic challenge on its own; however, the combined fracture of the spine and pelvis entails its own set of challenges. In a combined spine and pelvis fracture, we may encounter a spino-pelvic dissociation, which is anatomically characterized by the inability to transmit loads through the spine to the pelvis and consequently to the lower limbs. This interferes with the transmission of axial loads and stability. In this scenario, it has been demonstrated that conventional plates and screws are not sufficient. Faced with this problem, it has been observed that a long posterior fixation can be a good alternative, as it has been shown to provide greater stability and earlier rehabilitation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[politraumatismo]]></kwd>
<kwd lng="es"><![CDATA[disociación espinopélvica]]></kwd>
<kwd lng="es"><![CDATA[fractura de pelvis]]></kwd>
<kwd lng="es"><![CDATA[fractura de columna]]></kwd>
<kwd lng="es"><![CDATA[instrumentación larga de columna]]></kwd>
<kwd lng="en"><![CDATA[multiple trauma]]></kwd>
<kwd lng="en"><![CDATA[spinopelvic dissociation]]></kwd>
<kwd lng="en"><![CDATA[pelvic fracture]]></kwd>
<kwd lng="en"><![CDATA[spinal fracture]]></kwd>
<kwd lng="en"><![CDATA[long spinal instrumentation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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