Mazza O, Marano G, Mazza M. Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury. World J Psychiatry 2025; 15(8): 108619 [DOI: 10.5498/wjp.v15.i8.108619]
Corresponding Author of This Article
Marianna Mazza, MD, PhD, Assistant Professor, Unit of Psychiatry, Fondazione Policlinico Universitario “A Gemelli” IRCCS, Largo A Gemelli 8, Rome 00168, Italy. marianna.mazza@policlinicogemelli.it
Research Domain of This Article
Psychiatry
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Aug 19, 2025; 15(8): 108619 Published online Aug 19, 2025. doi: 10.5498/wjp.v15.i8.108619
Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury
Osvaldo Mazza, Giuseppe Marano, Marianna Mazza
Osvaldo Mazza, Department of Spine Surgery, Bambino Gesù Children’s Hospital IRCCS, Rome 00165, Lazio, Italy
Giuseppe Marano, Department of Neurosciences, Unit of Psychiatry, Fondazione Policlinico Universitario “A Gemelli” IRCCS, Rome 00168, Italy
Marianna Mazza, Unit of Psychiatry, Fondazione Policlinico Universitario “A Gemelli” IRCCS, Rome 00168, Italy
Author contributions: Mazza O, Mazza M and Marano G contributed to conceptualization, resources, writing-original draft preparation, writing-review and editing; All authors have read and agreed to the published version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Marianna Mazza, MD, PhD, Assistant Professor, Unit of Psychiatry, Fondazione Policlinico Universitario “A Gemelli” IRCCS, Largo A Gemelli 8, Rome 00168, Italy. marianna.mazza@policlinicogemelli.it
Received: April 18, 2025 Revised: April 28, 2025 Accepted: June 24, 2025 Published online: August 19, 2025 Processing time: 112 Days and 2.5 Hours
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.
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.
