Patients with metastatic disease who present with spinopelvic dissociation from U- or H-type pathologic sacral fractures use fewer opioid medications for axial and radicular pain and have better ambulatory function following lumbopelvic fixation. Larger, prospective studies are needed to confirm the authors' findings.
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Takashi Hirase
Michael Mazzucco
Max Vaynrub
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Hirase et al. (Fri,) studied this question.
www.synapsesocial.com/papers/69eefd64fede9185760d40ff — DOI: https://doi.org/10.3171/2025.12.spine251346