SynthesisBMJ open2019
Effectiveness of surgical fixation for lateral compression type one (LC-1) fragility fractures of the pelvis: a systematic review.
Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled 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
- A systematic review regarding clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis.Nagoya journal of medical science · 2023Pooled it
- Operative management of fragility fractures of the pelvis - a systematic review.BMC musculoskeletal disorders · 2021Pooled it
- Surgical versus non-surgical management of lateral compression type-1 pelvic fracture in adults 60 years and older: the L1FE RCT.Health technology assessment (Winchester, England) · 2024Trial
- Letter to the editor on: operative care rates of lateral compression type 1 pelvic fractures increased from 2003 to 2018.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Parasymphyseal fracture location in lateral compression pelvic ring injuries: an assessment of reoperation and radiographic displacement in an international multicenter study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Operative care rates of lateral compression type 1 pelvic fractures increased from 2003 to 2018.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Surgical stabilization of flail chest: a retrospective evaluation of clinical outcomes and injury score predictive validity.Updates in surgery · 2026Article
- 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
- Rethinking LC-type in Young-Burgess classification of pelvic fracture: A retrospective study.Medicine · 2025Article
- Rehabilitation after pelvic fragility fracture in older adults: a scoping review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Sacroiliac Joint Ankylosis in Pelvic Ring Injuries with Posterior Ilium Fractures.Hip & pelvis · 2025Article
- Evaluating Treatment Outcomes for Pelvic Insufficiency Fractures: A Systematic Review.Journal of clinical medicine · 2024Review
- What interventions add value in lateral compression type 1 fragility pelvis fractures? A retrospective cohort study.SAGE open medicine · 2024Article
- Comparison of the two surgery methods combined with accelerated rehabilitation in the treatment of lateral compression type 1 pelvic fractures in the elderly.Journal of orthopaedic surgery and research · 2023Article
- Article
- Fragility Fractures of the Pelvis: Current Practices and Future Directions.Current osteoporosis reports · 2022Review
- The impact of specific fracture characteristics of low-energy fractures of the pelvis on mortality.BMC geriatrics · 2022Article
- Lateral compression type 1 (LC1) pelvic ring injuries: a spectrum of fracture types and treatment algorithms.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectivesTo undertake a systematic review of the evidence base for the effectiveness of surgical fixation of lateral compression (LC-1) fragility fractures of the pelvis compared with non-surgical approaches. SEARCHES: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and two international trials registers were searched up to January 2017 (MEDLINE to February 2019) for studies of internal or external fixation of fragility fractures of the pelvis.
participantsPatients with lateral compression pelvic fractures, sustained as the result of a low-energy mechanism, defined as a fall from standing height or less.
interventionsSurgery using either external or internal fixation devices. Conservative non-surgical treatment was the defined comparator. OUTCOME MEASURES: Outcomes of interest were patient mobility and function, pain, quality of life, fracture union, mortality, hospital length of stay and complications (additional operative procedures, number and type of adverse events and serious adverse events). QUALITY ASSESSMENT AND SYNTHESIS: The Joanna Briggs Institute Checklist for Case Series was used to assess the included studies. Results were presented in a narrative synthesis.
resultsOf 3421 records identified, four retrospective case series met the inclusion criteria. Fixation types were not consistent between studies or within studies and most patients had more than one type of pelvic fixation. Where reported, mobility and function improved post-surgery, and a reduction in pain was recorded. Length of hospital stay ranged from 4 days to 54 days for surgical fixation of any type. Reported complications and adverse outcomes included: infections, implant loosening, pneumonia and thrombosis. Use of analgesia was not reported.
conclusionsThere is insufficient evidence to support guidance on the most effective treatment for patients who fail to mobilise after sustaining an LC-1 fragility fracture. TRIAL REGISTRATION NUMBER: CRD42017055872.
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