Evidence map›Paper›PMID 33192014›Full record

ArticleJournal of clinical orthopaedics and trauma

Association between Young-Burgess pelvic ring injury classification and concomitant injuries requiring urgent intervention.

Julia R Coleman, Ernest E Moore, David Rojas Vintimilla, Joshua Parry, Jesse T Nelson, Jason M Samuels, Angela Sauaia, Mitchell J Cohen, Clay Cothren Burlew, Cyril Mauffrey

Erratum issuedOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Hemorrhage control in pelvic ring injuries: the role of PCCDs and other acute measures in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  6. Review
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  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Julia R ColemanDepartment of Surgery, University of Colorado-Denver, Aurora, CO, USA.
Ernest E MooreDepartment of Surgery, University of Colorado-Denver, Aurora, CO, USA.
David Rojas VintimillaDepartment of Surgery, Department of Orthopaedic Surgery, Ernest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
Joshua ParryDepartment of Surgery, Department of Orthopaedic Surgery, Ernest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
Jesse T NelsonRosalind Franklin Medical School, Chicago, IL, USA.
Jason M SamuelsDepartment of Surgery, University of Colorado-Denver, Aurora, CO, USA.
Angela SauaiaDepartment of Surgery, University of Colorado-Denver, Aurora, CO, USA.
Mitchell J CohenDepartment of Surgery, University of Colorado-Denver, Aurora, CO, USA.
Clay Cothren BurlewDepartment of Surgery, University of Colorado-Denver, Aurora, CO, USA.
Cyril MauffreyDepartment of Surgery, Department of Orthopaedic Surgery, Ernest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
Denver Health Medical Center · USUniversity of Colorado Denver · USRosalind Franklin University of Medicine and Science · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYoung-Burgess classification (YB) is a mechanistic system which classifies pelvic ring injuries into anterior-posterior compression (APC), lateral compression (LC), vertical shear (VS) injuries, and combined mechanism (CM). The objective of this study was to identify associated injuries which require urgent operative intervention by YB classification. We hypothesize that YB classification is associated with 1) need for urgent intervention for pelvic fracture-related hemorrhage and 2) patterns of injury complexes requiring surgery.

methodsThis is a retrospective study of severely injured trauma patients with pelvic ring injuries who presented to an urban Level-1 trauma center from 2007 to 2017. Associated injuries and procedures were determined by Abbreviated Injury Scale (AIS) and ICD-9/10 codes. YB classes were compared, followed by a cluster analysis to identify injury patterns and association with YB classifications.

resultsOverall, 135 patients were included. 98 (72%) of patients presented with LC, 16 (12%) with APC, 8 (6%) with VS, and 13 (10%) with CM. VS and APC groups had higher rates of REBOA use compared to LC and CM groups (38% and 31% versus 11% and 0%, respectively, p = 0.01). The CM group, compared to LC, APC, and VS, had higher rates of urgent operative intervention for bleeding control (69% versus 32%, 50% and 43%, respectively, p = 0.01). 39 (29%) patients had a concomitant injury which was identified by CT scan in initial trauma work up and altered management, 46% which merited urgent intervention. On cluster analysis, there were no distinct injury complexes which required urgent operative intervention by YB class.

conclusionsThese data failed to identify unique injury complexes which merit urgent operative intervention by YB class. Nearly one in four patients had injuries identified by initial CT imaging which altered initial management, demonstrating the importance of early, full body CT imaging in severely injured patients with pelvic ring injuries.

Indexed as

Hemodynamically unstableHemorrhageInjury complexesOperative injuriesPelvic fracturePelvic ring injuryYoung-Burgess

Identifiers

PMID33192014
PMCPMC7656475
OpenAlexW3080686700

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.