ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2024
Pelvic Ring Fracture Management and Subsequent Pregnancy: A Summary of Current Literature.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- [Practical guidelines for difficult and complex hardware removal in orthopedic surgery].Operative Orthopadie und Traumatologie · 2026Article
- CBCT-Guided Iliosacral Screw Osteosynthesis in a Pregnant Woman: A Case Report and Literature Review.Journal of personalized medicine · 2026Article
- Article
- Successful internal fixation of a pelvic ring fracture during pregnancy: a multidisciplinary case report.BMC pregnancy and childbirth · 2025Article
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Authors and funding
5 authors.
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Abstract
introductionThe incidence of pelvic ring injuries is 34.3% per 100,000 capita. No studies have determined the ability of a female patient to have a vaginal delivery after undergoing pelvic fracture fixation. However, many obstetricians are generally unwilling to have their patients attempt a vaginal delivery in the setting of symphyseal or sacroiliac fixation.
methodsAn exhaustive search of the National Library of Medicine database was performed, and it is hypothesized that cesarean section rates would be higher for women who have a child after one of these pelvic ring injuries.
resultsThere is a 15% increase in cesarean rates using data from the National Center for Health Statistics. In addition, there is an observable increase in new cesarean rates. DISCUSSION: Currently, there is no clear evidence to support an elective cesarean section as the sole indication after a prior pelvic fracture. To date, no studies have determined the ability of a female patient to have a vaginal delivery after undergoing pelvic fracture fixation.
conclusionThus, until the increased cesarean section rate has been explained, it could be problematic to counsel the patient to avoid a vaginal delivery after sustaining a pelvic ring fracture. Hence, conducting additional studies on this topic would deem to be necessary.
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