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Combined pubic rami and sacral osteoporotic fractures: a prospective study

BACKGROUND: Pelvic osteoporotic fractures (POFs) are often associated with considerable morbidity and mortality mainly as a result of infections and cardiovascular events. Patients usually need prolonged institutionalization, rehabilitation, and follow-up, with a high rate of dependency and cost. Th...

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Autores principales: Alnaib, M., Waters, S., Shanshal, Y., Caplan, N., Jones, S., St Clair Gibson, A., Kader, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3349020/
https://www.ncbi.nlm.nih.gov/pubmed/22391943
http://dx.doi.org/10.1007/s10195-012-0182-2
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author Alnaib, M.
Waters, S.
Shanshal, Y.
Caplan, N.
Jones, S.
St Clair Gibson, A.
Kader, D.
author_facet Alnaib, M.
Waters, S.
Shanshal, Y.
Caplan, N.
Jones, S.
St Clair Gibson, A.
Kader, D.
author_sort Alnaib, M.
collection PubMed
description BACKGROUND: Pelvic osteoporotic fractures (POFs) are often associated with considerable morbidity and mortality mainly as a result of infections and cardiovascular events. Patients usually need prolonged institutionalization, rehabilitation, and follow-up, with a high rate of dependency and cost. The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic fractures (SOFs) have been reported, mostly in retrospective studies, describing the mechanism of injury and incidence. The aim of this study was to evaluate the association between PROFs and SOFs and to assess the effect of combined PROFs and SOFs on patients’ mobility, discharge destination, and length of stay. MATERIALS AND METHODS: We prospectively studied 67 patients with low-impact PROFs and/or SOFs. There were 54 (80.4%) female and 13 (19.6%) male patients, and the average age was 87.5 (range 65–96) years. All patients were assessed by the fracture liaison service. Patients had magnetic resonance imaging or bone scan when there was history of low back pain following the injury or lumbosacral tenderness on clinical examination. RESULTS: The mean length of stay for all patients was 45 (±35) days. Mortality rate was 10.4%. A significant relationship was found between low back pain and a positive finding of sacral fracture. Patients with combined PROFs and SOFs showed significantly longer length of stay than those with isolated PROFs. CONCLUSIONS: The presence of low back pain and tenderness in patients who had low-impact pelvic injuries was highly suggestive of the presence of an associated SOF. There was a high association between sacral and PROFs. The length of stay of patients with PROFs associated with sacral osteoporotic fractures was significantly longer than that of patients with PROFs only. Therefore, we recommend considering the high association between SOFs and PROFs in planning the management and rehabilitation of patients with POFs.
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spelling pubmed-33490202012-05-30 Combined pubic rami and sacral osteoporotic fractures: a prospective study Alnaib, M. Waters, S. Shanshal, Y. Caplan, N. Jones, S. St Clair Gibson, A. Kader, D. J Orthop Traumatol Original Article BACKGROUND: Pelvic osteoporotic fractures (POFs) are often associated with considerable morbidity and mortality mainly as a result of infections and cardiovascular events. Patients usually need prolonged institutionalization, rehabilitation, and follow-up, with a high rate of dependency and cost. The most common sites of POFs include the pubic rami, sacrum, ilium, and acetabulum. Combined pubic rami (PROFs) and sacral osteoporotic fractures (SOFs) have been reported, mostly in retrospective studies, describing the mechanism of injury and incidence. The aim of this study was to evaluate the association between PROFs and SOFs and to assess the effect of combined PROFs and SOFs on patients’ mobility, discharge destination, and length of stay. MATERIALS AND METHODS: We prospectively studied 67 patients with low-impact PROFs and/or SOFs. There were 54 (80.4%) female and 13 (19.6%) male patients, and the average age was 87.5 (range 65–96) years. All patients were assessed by the fracture liaison service. Patients had magnetic resonance imaging or bone scan when there was history of low back pain following the injury or lumbosacral tenderness on clinical examination. RESULTS: The mean length of stay for all patients was 45 (±35) days. Mortality rate was 10.4%. A significant relationship was found between low back pain and a positive finding of sacral fracture. Patients with combined PROFs and SOFs showed significantly longer length of stay than those with isolated PROFs. CONCLUSIONS: The presence of low back pain and tenderness in patients who had low-impact pelvic injuries was highly suggestive of the presence of an associated SOF. There was a high association between sacral and PROFs. The length of stay of patients with PROFs associated with sacral osteoporotic fractures was significantly longer than that of patients with PROFs only. Therefore, we recommend considering the high association between SOFs and PROFs in planning the management and rehabilitation of patients with POFs. Springer International Publishing 2012-03-06 2012-06 /pmc/articles/PMC3349020/ /pubmed/22391943 http://dx.doi.org/10.1007/s10195-012-0182-2 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Alnaib, M.
Waters, S.
Shanshal, Y.
Caplan, N.
Jones, S.
St Clair Gibson, A.
Kader, D.
Combined pubic rami and sacral osteoporotic fractures: a prospective study
title Combined pubic rami and sacral osteoporotic fractures: a prospective study
title_full Combined pubic rami and sacral osteoporotic fractures: a prospective study
title_fullStr Combined pubic rami and sacral osteoporotic fractures: a prospective study
title_full_unstemmed Combined pubic rami and sacral osteoporotic fractures: a prospective study
title_short Combined pubic rami and sacral osteoporotic fractures: a prospective study
title_sort combined pubic rami and sacral osteoporotic fractures: a prospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3349020/
https://www.ncbi.nlm.nih.gov/pubmed/22391943
http://dx.doi.org/10.1007/s10195-012-0182-2
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