SynthesisBMC musculoskeletal disorders2021
Operative management of fragility fractures of the pelvis - a systematic review.
Synthesis in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 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
50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- 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
- Is anterior pelvic ring fixation associated with lower incidence of posterior hardware failure in elderly patients with pelvic ring injuries?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Global Priorities and Knowledge Gaps in Spinal Trauma, Infection, and Osteoporotic Fractures: Insights From the AO Spine Knowledge Forum Trauma & Infection Needs Assessment Survey.Global spine journal · 2026Article
- Safety and Early Clinical Outcomes of Sacroiliac Fusion for Sacral Fractures via a Modified S1 Corridor: An Exploratory Comparison of Triangular and Threaded 3D-Printed Titanium Implants.Medicina (Kaunas, Lithuania) · 2026Article
- Complications and outcomes after operative treatment of low-energy pelvic ring and acetabular fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Percutaneous screw fixation combined with cement augmentation for sacral insufficiency fractures: bicentric study.European radiology · 2026Article
- Percutaneous fixation of posterior pelvic ring lesions in the elderly: current evidence and recent advances.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Preoperative 3D-Planned S1 Corridors Transferred into 2D Fluoroscopy Allow for Safe Intraoperative Large-Diameter Implant Placement: Description of a Novel Sacroiliac Fixation Technique and Proof of Concept in 137 Implantations.Medicina (Kaunas, Lithuania) · 2026Article
- [Surgical stabilization of fragility fractures of the pelvis shows a good age-appropriate result regardless of the surgical procedure].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Acceptable outcomes after anterior subcutaneous pelvic Internal Fixation (INFIX) for Fragility Fractures of the Pelvis (FFP) type III in elderly patients: a retrospective study.BMC geriatrics · 2026Article
- Pelvic insufficiency fractures in the elderly - what insights has the past year of research brought? A narrative review.Innovative surgical sciences · 2025Review
- Robotic-assisted navigation with patient-specific implants vs. modified Stoppa and MIPPO in Tile C pelvic fractures: a multicenter cross-sectional observational study with osteoporosis subgroup analysis.Journal of robotic surgery · 2025Observational
- Retrospective analysis of the use of orthopedic reduction robots in treating low-energy osteoporotic unstable pelvic fractures in the elderly.Journal of orthopaedic surgery and research · 2025Article
- 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
- 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
- Minimally invasive stabilization of the anterior pelvic ring in fragility fractures using a submuscularly implanted internal fixator - a retrospective case series of 34 geriatric patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Clinical and Patient-Focused Outcomes After Percutaneous Screw Fixation of Pelvic Ring Fractures in Older Adults.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of osteoporotic pelvic fractures in elderly patient is rising. This brings an increasing burden on health and social care systems as these injuries often lead to prolonged hospital admissions, loss of independence, morbidity and mortality. Some centres now advocate stabilisation of these injuries to reduce pain, facilitate early mobilisation, decrease hospital stay and restore independence. A systematic review of the literature was planned to establish the evidence for this intervention.
methodsA systematic review was performed according to PRISMA guidelines. A clinical librarian performed a search of the following databases: NHS Evidence, TRIP, the Cochrane Database of Systematic Reviews, MEDLINE and EMBASE. Seventeen eligible studies were identified with 766 patients.
resultsThe quality of evidence was poor with no good quality randomised trials. The majority of injuries were minimally displaced. Posterior ring injuries were most often stabilised with percutaneous screws which were sometimes augmented with void filler. A number of techniques were described for stabilisation of the anterior ring although fixation of the anterior ring was frequently not performed. There was consistent evidence from the included studies that operative intervention significantly improved pain. Complications were minimal but there were increased failure rates when a single unaugmented sacroiliac joint screw was used. The limited availability of non-operative comparators made it difficult to draw firm conclusions about the efficacy of surgical over non-surgical management in these patients.
conclusionsOperative management of fragility fractures of the pelvis should be considered for patients failing a brief period of non-operative management, however prospective randomised trials need to be performed to provide improved evidence for this intervention. Surgeons should consider which fixation techniques for fragility fractures of the pelvis are robust enough to allow immediate weightbearing, whilst minimising operative morbidity and post-operative complications. PROSPERO Systematic Review ID: CRD42020171237.
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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.