Observational studyBMC musculoskeletal disorders2019
Decision-making, therapy, and outcome in lateral compression fractures of the pelvis - analysis of a single center treatment.
Observational study in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- A validated CT-based scoring system for lateral compression type one pelvic ring injuries provides insight into the spectrum of injury severity and guides treatment decisions; a prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Posterior-only fixation in pelvic fractures: Is it sufficient in lateral compression injuries?Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Observational
- Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Pararectus approach to the AO B2.2 pelvic fracture: early functional and radiological outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Review
- Locked pubis symphysis in a skeletally immature patient, a case report.Trauma case reports · 2021Article
- Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPelvic lateral compression fractures are the most stable of the unstable fractures. Therefore, decision making regarding operative or non-operative therapy is still a matter of debate.
methodsFactors, influencing decision making for therapy, were explored based on prospectively collected register data of a single Level-1 trauma center. The analysis included epidemiological records such as age and gender, and injury characterizing parameters such as degree of displacement and the Injury Severity Score (ISS). In-hospital mortality and complications served as short-term outcome variables. After matching for relevant confounders, long-term results were compared between operatively and non-operatively treated patients, evaluating the Merle d'Aubigne and the EQ. 5D-3 L scores.
resultsOver an 11-year period (2004-14), 134 patients suffered from lateral compression fractures out of 567 pelvic fractures (33%). After excluding patients with clear indications for operation (complex pelvic fractures and pubic symphysis ruptures) and pediatric fractures, 114 patients could be included in the analysis. Sixty-one patients were treated conservatively (54%), 53 with an operation (46%). The operated patients were younger (43.7 vs 58.3 years), had higher ISS (19.9 vs 15.5 points) and fracture displacements (2.3 vs 4.9 mm) (p < 0.001 for all). The length of hospital stay was shorter in the conservatively treated group (12.7 vs 17.3 days, p < 0.02). Although the types of complications were different, the incidence was not. The mortality was less in the operated group (1.9% vs. 6.6%), however, a logistic regression analysis showed that only the ISS was an independent risk factor, but not the type of therapy. Merle d'Aubigne and EQ. 5D-3 L scores were not different in the matched cohorts.
conclusionDecision-making for operative therapy was favored in severely injured young patients with high displacement. However, short- and long-term outcomes showed no difference between operatively and non-operatively treated patients.
trial registrationDRKS, no. 00000488 . Registered 14th July 2010 - Retrospectively registered.
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