Surgical stabilization of postpartum symphyseal instability: two cases and a review of the literature

Osterhoff, G; Ossendorf, C; Ossendorf-Kimmich, N; Zimmermann, R; Wanner, G A; Simmen, H P; Werner, C M L

doi:10.5167/uzh-55106

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Osterhoff, G., Ossendorf, C., Ossendorf-Kimmich, N., Zimmermann, R., Wanner, G. A., Simmen, H. P., & Werner, C. M. L. (2012). Surgical stabilization of postpartum symphyseal instability: two cases and a review of the literature. Gynecologic and Obstetric Investigation, 1–7. https://doi.org/10.1159/000331055

Abstract

During pregnancy, asymptomatic widening of the symphysis pubis by about one third is normal and considered physiological. However, peripartal relaxation of the symphyseal and sacroiliac ligaments may cause significant complaints conditions including pain and gait dysfunction. Usually, patients are treated by the application of pelvic binders and bed rest up to several weeks. Surgical stabilization is performed seldom, though it may be promising in selected patients. Based on 2 cases of postpartum symphyseal instability treated by surg