Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury.

Abstract

Pelvic fractures are rare but severe injuries that severely affect patients' quality of life. Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures, particularly lumbosacral plexus. The introduction of minimally invasive surgical approaches, such as the lateral rectus approach, not only contributes to preserving lumbar plexus integrity in operated patients but also positively impacts their psychological well-being. Patients treated by surgical reduction of pelvic fractures with lumbosacral plexus injury often experience states of anxiety and depression. The lateral rectus approach is associated with lower levels of anxiety and depression compared to more invasive surgical techniques used for similar fractures.