Trial reportEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Sacroiliac versus transiliac-transsacral screw osteosynthesis in osteoporotic pelvic fractures: a biomechanical comparison.
Trial report in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 27 citations in OpenAlex.
- 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
- Prospective clinical feasibility assessment of the Osteoporotic Pelvis Fracture Score (OFP-Score)-a multicenter prospective cohort study.BMC geriatrics · 2026Article
- Evaluation of preoperative screw planning and X-ray simulation for iliosacral and transsacral screw placement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- [Surgical stabilization of fragility fractures of the pelvis shows a good age-appropriate result regardless of the surgical procedure].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Specifying the Entry Point for a Transiliac-Transsacral Screw in Posterior Pelvic Ring Fixation.Clinics in orthopedic surgery · 2026Article
- Impact of osteoporosis pharmacotherapy and vitamin d supplementation on fracture morphology and treatment of pelvic fragility fractures: a retrospective cohort study of 1493 patients from the German Pelvic Trauma Registry.Archives of osteoporosis · 2026Article
- Preferential sacral fracture sites in fragility fractures of the pelvis type IVb and comparison of internal fixation methods: CT-based morphological mapping and finite element analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Optimized posterior starting point of sacral-alar-iliac screw/reverse sacral-alar-iliac screw for sacroiliac joint fixation: experimental study and preliminary application.BMC musculoskeletal disorders · 2026Article
- Transiliac-Transsacral Screw Provides Good Outcomes for Stabilizing Unstable Fragility Fracture of the Pelvis: A Retrospective Case Series.Life (Basel, Switzerland) · 2026Article
- Fragility Fractures of the Pelvis-Current Understanding and Open Questions.Journal of clinical medicine · 2025Article
- [Comparative study on implantation safety and stability of SZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Pelvis/acetabulum: management of geriatric injuries.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Freehand Placement of a Transiliac-Transsacral Screw for Fixation of Posterior Pelvic Ring Injuries.Orthopaedic surgery · 2025Article
- Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.Archives of orthopaedic and trauma surgery · 2025Review
- Iliosacral screw osteosynthesis - state of the art.Archives of orthopaedic and trauma surgery · 2025Review
- Mortality After Iliosacral Screw Fixation for Osteoporotic Pelvic Ring Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Bilateral Iliosacral and Transsacral Screws Are Biomechanically Favorable and Reduce the Risk for Fracture Progression in Fragility Fractures of the Pelvis-A Finite Element Analysis.Bioengineering (Basel, Switzerland) · 2025Article
- Finite element analysis of modified pedicle screw fixation and traditional lumbopelvic fixation for the treatment of sacroiliac joint disruption.BMC musculoskeletal disorders · 2024Article
- Comparison of mechanical stability of modified pedicle screw fixator and unilateral lumbopelvic fixation for treating sacroiliac joint disruption: A finite element analysis study.Acta orthopaedica et traumatologica turcica · 2024Article
- Orthogeriatric co-management in pelvic and acetabular fractures.Archives of orthopaedic and trauma surgery · 2024Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPelvic fractures were often associated with high-energy trauma in young patients, but data show a significant increase in osteoporotic pelvic fractures in old age due to the progressive demographic change. There is an ongoing discussion about the best fixation techniques, which are ranging from lumbopelvic fixation to sacral bars or long transiliac-transsacral (TITS) screws. This study analyzes TITS screw osteosynthesis and sacroiliac screw osteosynthesis (SI), according to biomechanical criteria of fracture stability in osteoporotic human pelvic cadavers ex vivo.
methodsTen osteoporotic cadaveric pelvises were randomized into two groups of 5 pelvises each. An FFP-IIc fracture was initially placed unilaterally and subsequently surgically treated with a navigated SI screw or a TITS screw. The fractured side was loaded in a one-leg stance test setup until failure. Interfragmentary movements were assessed by means of optical motion tracking.
resultsNo significant difference in axial stiffness were found between the SI and the TITS screws (21.2 ± 4.9 N and 18.4 ± 4.1 N, p = 0.662). However, there was a significantly higher stability of the fracture treatment in the cohort with TITS-screws for gap angle, flexion, vertical movement and overall stability. The most significant difference in the cycle interval was between 6.000 and 10.000 for the gap angle (1.62 ± 0.25° versus 4.60 ± 0.65°, p = 0.0001), for flexion (4.15 ± 0.39 mm versus 7.60 ± 0.81 mm, p = 0.0016), interval 11.000-15.000 for vertical shear movement (7.34 ± 0.51 mm versus 13.99 ± 0.97 mm, p < 0.0001) and total displacement (8.28 ± 0.66 mm versus 15.53 ± 1.07 mm, p < 0.0001) for the TITS and the SI screws.
conclusionsThe results of this biomechanical study suggest a clear trend towards greater fracture stability of the TITS screw with significantly reduced interfragmentary movement. The application of a TITS screw for the treatment of the osteoporotic pelvic ring fracture may be prioritized to ensure the best possible patient care.
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