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.

Keywords: Pelvic fractures; Anxiety; Depression; Lumbosacral plexus; Minimally invasive approach

Core Tip: Minimally invasive surgical techniques, such as the lateral rectus approach, are revolutionizing the management of complex pelvic fractures by not only improving anatomical and functional outcomes but also mitigating psychological distress. This editorial emphasizes the crucial role of trauma-informed care, highlighting how reduced postoperative pain, nerve preservation, and expedited recovery may alleviate anxiety, depression, and sleep disturbances in patients with lumbosacral plexus injuries. Integrating psychiatric assessment and rehabilitation into orthopedic practice represents a necessary evolution toward holistic, patient-centered trauma care.