Clinical guideline for the diagnosis and treatment of sacroiliac complex injuries (version 2025)
- VernacularTitle:骨盆骶髂复合体损伤临床诊疗指南（2025版）
- Author:
Fulin TAO
1
;
Jinlei DONG
;
Gang WANG
;
Xianzhong MA
;
Guanglin WANG
;
Jiandong WANG
;
Zhanying SHI
;
Wei FENG
;
Shiwen ZHU
;
Gang LYU
;
Guangyao LIU
;
Dahui SUN
;
Yuqiang SUN
;
Ming LI
;
Weixu LI
;
Yan ZHUANG
;
Kaifang CHEN
;
Dapeng ZHOU
;
Qishi ZHOU
;
Zhangyuan LIN
;
Chengla YI
;
Longpo ZHENG
;
Jianzhong GUAN
;
Zhiyong HOU
;
Shuquan GUO
;
Xiaodong GUO
;
Xiaoshan GUO
;
Xiaodong QIN
;
Hua CHEN
;
Shicai FAN
;
Dongsheng ZHOU
;
Lianxin LI
Author Information
- Publication Type:Journal Article
- Keywords: Pelvis; Sacroiliac complex; Wounds and injuries; Surgical procedures, minimally invasive; Lumbosacral plexus
- From: Chinese Journal of Trauma 2025;41(8):709-720
- CountryChina
- Language:Chinese
- Abstract: Sacroiliac complex injuries are commonly seen in high-energy pelvic fractures. The injuries make a big difference in treatment patterns due to the diverse injury types, posing considerable challenges in formulating optimal treatment strategies, and hence are persistent clinical difficulties in orthopedic trauma. The clinical management of sacroiliac complex injuries presents several key challenges such as a non-negligible rate of missed diagnoses in associated vascular and visceral injuries, absence of standardized protocols for surgical approaches and reduction-fixation strategies across different injury patterns, and ongoing controversies regarding surgical indications and optimal timing for patients combined with concomitant lumbosacral plexus injuries. Currently, no systematic clinical guidelines are available for the diagnosis and treatment of sacroiliac complex injuries both domestically and internationally. To this end, the Pelvic and Acetabular Surgery Group, Orthopedic Branch, China International Exchange and Promotive Association for Medical and Health Care and Orthopedic Physician Branch, Chinese Medical Doctor Association organized a panel of domestic experts in the field to develop the Clinical guideline for the diagnosis and treatment of sacroiliac complex injuries ( version 2025), based on evidence-based medicine and adhering to the principles of scientific rigor, clinical applicability, and innovation. These guidelines provided 11 recommendations covering diagnosis, therapeutic principles and techniques, management protocols for lumbosacral plexus injuries, outcome evaluation, and postoperative rehabilitation pathways, etc., aiming to standardize the clinical management of sacroiliac complex injuries.
