Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Core Tip

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.