Evidence map›Paper›PMID 42177405›Full record

ArticleBMC geriatrics2026

Prospective clinical feasibility assessment of the Osteoporotic Pelvis Fracture Score (OFP-Score)-a multicenter prospective cohort study.

Ulrich J A Spiegl, Pamela Schanderl, Volker Zimmermann, Bernhard Ullrich, Martin Naisan, Felix Kohler, Erik Wegner, Michael Müller, Frank Hartmann, Klaus J Schnake and 8 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Ulrich J A Spiegl *Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany. uli.spiegl@gmx.de.
Pamela Schanderl *Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.
Volker ZimmermannDepartment of Trauma and Orthopedic Surgery, Klinikum Traunstein, Traunstein, Germany.
Bernhard UllrichDepartment of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle, Halle, Germany.
Martin NaisanDepartment of Trauma and Orthopedic Surgery, St. Josef-Hospital Wiesbaden, Wiesbaden, Germany.
Felix KohlerDepartment of Trauma, Hand and Reconstructive Surgery, Universitätsklinikum Jena - Friedrich-Schiller-University, Jena, Germany.
Erik WegnerDepartment of Trauma and Orthopedic Surgery, Universitätsmedizin Mainz - Johannes Gutenberg-University, Mainz, Germany.
Michael MüllerDepartment of Orthopedic and Trauma Surgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Germany.
Frank HartmannDepartment of Trauma Surgery, Diakonie Krankenhaus, Bad Kreuznach, Germany.
Klaus J SchnakeCenter for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Erlangen, Germany.
Imke SchmerwitzClinic for Orthopedic Surgery, Sports Traumatology and Trauma Surgery, Städtisches Klinikum Wolfenbüttel, Wolfenbüttel, Germany.
Lars BehrInterdisciplinary Center for Spine and Neurotrauma, Sana Klinikum Borna, Borna, Germany.
Max J ScheyererDepartment of Trauma and Orthopedic Surgery, Universitätsklinikum Düsseldorf - Heinrich Heine University, Düsseldorf, Germany.
Robert PätzoldDepartment of Trauma and Reconstructive Surgery, BG Unfallklinik Murnau, Murnau, Germany.
Sebastian GrüningerDepartment of Orthopedics and Traumatology, Klinikum Nürnberg, Nuremberg, Germany.
Thomas MendelDepartment of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle, Halle, Germany.
Georg OsterhoffDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.
Working Group Osteoporotic Fractures of the Spine Section of the German Society of Orthopaedics and Trauma

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the feasibility of using the recently developed OF-Pelvis-Score (OFP-Score) for treatment decisions in patients with osteoporotic fractures of the pelvis (OFP) based on standard clinical diagnostics.

methodsA multicenter prospective cohort study was conducted at 14 trauma centers including 375 consecutive patients who were treated for an OFP over a period of 19 months. All fractures were classified according to the OF-Pelvis-Classification (OFP-Classification). The decision for either conservative or surgical therapy was made independently of the OFP-Score recommendation. Final decisions were compared to the recommendations given by the OFP-Score.

results375 patients with an average age of 81.0 years (± 7.6) were included, mainly female (85.6%). According to the OFP-Score, surgery was recommended in 60.5%, and conservative treatment was recommended in 21.9%. In 66 patients (17.6%) the score was undetermined with no treatment recommendation. In daily practice, 33.6% of the patients were treated conservatively and the remaining 66.4% operatively. Overall, the agreement between the OFP-Score and the performed treatment was 91%. The score was obtained in a mean of 3.1 min (± 2.9). All patients improved significantly with respect of VAS (p < 0.001) and ODI (p < 0.001) during their hospital stay.

conclusionPatients with osteoporotic sacral fractures improved clinically both after surgical and conservative treatment. The OFP-Score-based therapy recommendations showed a promisingly high rate of agreement with the therapy of daily practice. The scoring method provides a structured framework that supports clinical decision-making, complementing clinical judgment and other evidence-based tools in guiding treatment choices.

Indexed as

Osteoporotic FracturesPelvic BonesAgedAged, 80 and overCohort StudiesConservative TreatmentFeasibility StudiesFemaleHumansMaleProspective StudiesConservative therapyOF Pelvis scoreOperative therapyOsteoporosisPelvic ring fractureTreatment decision

Identifiers

PMID42177405
PMCPMC13200406

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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.