ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Does surgical treatment for unstable fragility fracture of the pelvis promote early mobilization and improve survival rate and postoperative clinical function?
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- 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 versus non-operative treatment of fragility fractures of the pelvis: retrospective evaluation of one-year mortality and in-hospital complications.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- One-year mortality rates of fragility fractures of the pelvis: a systematic review and meta-analysis.EFORT open reviews · 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
- [Sacral H-shaped fractures between traumatic, insufficiency and fatigue fractures : Similarities, differences and controversies].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Fragility Fractures of the Pelvis: Current Practices and Future Directions.Current osteoporosis reports · 2022Review
- The grade of instability in fragility fractures of the pelvis correlates with impaired early mobilization.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- A computed tomography based survey study investigating the agreement of the therapeutic strategy for fragility fractures of the pelvis.Scientific reports · 2022Article
- Agreement rate of surgically treated sacral fractures with the recommendations proposed by the sacral AOSpine Injury Score.Journal of craniovertebral junction & spineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis retrospective multicenter study aimed to compare rates of early mobilization and survival and functional outcome of surgical treatment (S) with that of conservative treatment (C) according to each unstable fragility fracture of the pelvis (FFP) classification type with displacement of the posterior component ≥ 5 mm.
methodsWe analyzed 64 patients with unstable type III and IV FFP who could move and transfer themselves before injury and had ≥ 5 mm displacement of the posterior component. We compared survival rate, early mobilization, walking ability at final follow-up, and complications at admission for each type of surgical and conservative treatment.
resultsMost of the unstable FFP were type IIIa and IVb in the study population. Type III comprised 40 cases (group S:13/group C:27) and type IV comprised 24 cases (group S:7/group C:17). There were no significant differences in 3 month and 1 year survival rates, although group C (III) had the tendency of higher mortality rate (p = 0.08). Mobilization (transferring to a wheelchair) was enabled significantly earlier in group S (III) than in group C (III) (p = 0.02), but in type IV, most patients enabled early mobilization even without surgical intervention. There were no significant differences in hospital complications and walking ability at final follow-up.
conclusionIn this study, the superiority of surgical treatment for unstable FFP was not proven. However, the results suggest that type IVb may be a relatively stable type compared to type III and that type IVb should be considered separately from bilaterally complete unstable sacral fractures due to high-energy trauma.
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