ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2015
Fragility fractures of the sacrum: how to identify and when to treat surgically?
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04744350 (Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis), which is not on this map. Cited by 75 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis: a Prospective, Randomized Controlled Trial
Who cites it
75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 175 citations in OpenAlex.
- Reported complications after spinopelvic fixation for U-type sacral fractures in older adults: a systematic review with narrative synthesis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- Imaging of pelvic ring fractures in older adults and its clinical implications-a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Pooled it
- Sacroiliac versus transiliac-transsacral screw osteosynthesis in osteoporotic pelvic fractures: a biomechanical comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Trial
- Conservative versus operative treatment of FFP II fractures in a geriatric cohort: a prospective randomized pilot trial.Scientific reports · 2023Trial
- Management of sacral fragility fractures leading to spinopelvic dissociation: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Review
- Percutaneous screw fixation combined with cement augmentation for sacral insufficiency fractures: bicentric study.European radiology · 2026Article
- Minimally invasive screw fixation versus conservative treatment for geriatric non- or minimally displaced acetabular fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Prospective clinical feasibility assessment of the Osteoporotic Pelvis Fracture Score (OFP-Score)-a multicenter prospective cohort study.BMC geriatrics · 2026Article
- Preferential sacral fracture sites in fragility fractures of the pelvis type IVb and comparison of internal fixation methods: CT-based morphological mapping and finite element analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Pelvic insufficiency fractures in the elderly - what insights has the past year of research brought? A narrative review.Innovative surgical sciences · 2025Review
- In vitro testing of a novel implant for angular stabilisation of the posterior pelvic ring.Journal of orthopaedic surgery and research · 2025Article
- Retrospective comparative study between conservative management and surgical fixation of pelvic insufficiency fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Fragility Fractures of the Pelvis-Current Understanding and Open Questions.Journal of clinical medicine · 2025Article
- Clinical outcomes in fragility fractures of the pelvis; what can we tell our patients?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- CT-Based Evaluation of Hounsfield Units-A Novel Screening Tool for Undiagnosed Osteoporosis in Patients with Fragility Fractures of the Pelvis.Journal of clinical medicine · 2025Article
- Early experience with percutaneous photodynamic nails for sacral metastatic disease and insufficiency fractures: a retrospective cohort analysis of functionality and pain relief.BMC musculoskeletal disorders · 2025Article
- Fragility Fractures of the Pelvic Ring: Analysis of Epidemiology, Treatment Concepts, and Surgical Strategies from the Registry of the German Pelvic Multicenter Study Group.Journal of clinical medicine · 2025Article
- Imaging pitfalls in fragility fractures of the pelvis: a case series.Journal of medical case reports · 2025Article
- Mortality After Iliosacral Screw Fixation for Osteoporotic Pelvic Ring Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Chronic pelvic insufficiency fractures and their treatment.Archives of orthopaedic and trauma surgery · 2024Review
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The increasing prevalence of fragility fractures of the sacrum (FFS) occurring predominantly in osteoporotic individuals poses a diagnostic and therapeutic challenge. The clinical presentation varies from longstanding low back pain without the patient remembering a traumatic event to immobilized patients after suffering a low-energy trauma. FFS are often combined with a fracture of the anterior pelvic ring; hence they are classified as a part of fragility fractures of the pelvis (FFP). If not displaced, the patients are treated with weight bearing as tolerated and analgesics; however, we advocate to treat displaced fractures surgically according to the fracture personality and the patient's comorbidities. Surgical options include minimal invasive sacro-iliac screws, trans-sacral bar osteosynthesis, open reduction and internal fixation, or spinopelvic stabilization. In the light of the high complication rate associated with immobilized patients, an operative approach often is indicated to accelerate the patient's mobility.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.