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Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis
Operative treatment of osteoporosis-associated fragility fractures of the pelvis (FFP) and the sacrum is advocated with immobilizing or longstanding pain, fracture progression and displacement. We analyzed clinical outcomes regarding mobility, quality of life, and mortality of patients with FFP trea...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270908/ https://www.ncbi.nlm.nih.gov/pubmed/34244526 http://dx.doi.org/10.1038/s41598-021-93559-0 |
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author | Wagner, Daniel Kisilak, Miha Porcheron, Geoffrey Krämer, Sven Mehling, Isabella Hofmann, Alexander Rommens, Pol M. |
author_facet | Wagner, Daniel Kisilak, Miha Porcheron, Geoffrey Krämer, Sven Mehling, Isabella Hofmann, Alexander Rommens, Pol M. |
author_sort | Wagner, Daniel |
collection | PubMed |
description | Operative treatment of osteoporosis-associated fragility fractures of the pelvis (FFP) and the sacrum is advocated with immobilizing or longstanding pain, fracture progression and displacement. We analyzed clinical outcomes regarding mobility, quality of life, and mortality of patients with FFP treated with trans-sacral bar (TB) osteosynthesis through S1. Demographics, clinical data, and operation-related data of patients with an FFP treated with TB were acquired from chart review. We assessed mortality, quality of life (EQ-5D), mobility, and residential status at follow-up. Seventy-nine females and six males with a median age of 78.0 years (IQR 73–84) were included, median follow-up was 3.2 years. Medical complications during hospitalization occurred in 28%. Operative revision was carried out in 15% of patients. One-year survival was 90.4%, this was associated with shorter preoperative and total length of stay in hospital (p 0.006 and 0.025, respectively). At follow-up, 85% lived at home and 82% walked with or without walking aid. Higher EQ-5D was reached with higher mobility status and living at home (p < 0.001 and < 0.001, respectively). TB osteosynthesis is an adequate and reliable method for fixation of FFP in the posterior pelvic ring to ensure timely mobilization. Shorter preoperative and total length of stay had lower mortality rates, advocating a standardized management protocol to limit time delay to operative therapy. Patients treated with TB osteosynthesis had low 1-year mortality of less than 10%. |
format | Online Article Text |
id | pubmed-8270908 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-82709082021-07-12 Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis Wagner, Daniel Kisilak, Miha Porcheron, Geoffrey Krämer, Sven Mehling, Isabella Hofmann, Alexander Rommens, Pol M. Sci Rep Article Operative treatment of osteoporosis-associated fragility fractures of the pelvis (FFP) and the sacrum is advocated with immobilizing or longstanding pain, fracture progression and displacement. We analyzed clinical outcomes regarding mobility, quality of life, and mortality of patients with FFP treated with trans-sacral bar (TB) osteosynthesis through S1. Demographics, clinical data, and operation-related data of patients with an FFP treated with TB were acquired from chart review. We assessed mortality, quality of life (EQ-5D), mobility, and residential status at follow-up. Seventy-nine females and six males with a median age of 78.0 years (IQR 73–84) were included, median follow-up was 3.2 years. Medical complications during hospitalization occurred in 28%. Operative revision was carried out in 15% of patients. One-year survival was 90.4%, this was associated with shorter preoperative and total length of stay in hospital (p 0.006 and 0.025, respectively). At follow-up, 85% lived at home and 82% walked with or without walking aid. Higher EQ-5D was reached with higher mobility status and living at home (p < 0.001 and < 0.001, respectively). TB osteosynthesis is an adequate and reliable method for fixation of FFP in the posterior pelvic ring to ensure timely mobilization. Shorter preoperative and total length of stay had lower mortality rates, advocating a standardized management protocol to limit time delay to operative therapy. Patients treated with TB osteosynthesis had low 1-year mortality of less than 10%. Nature Publishing Group UK 2021-07-09 /pmc/articles/PMC8270908/ /pubmed/34244526 http://dx.doi.org/10.1038/s41598-021-93559-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Wagner, Daniel Kisilak, Miha Porcheron, Geoffrey Krämer, Sven Mehling, Isabella Hofmann, Alexander Rommens, Pol M. Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
title | Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
title_full | Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
title_fullStr | Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
title_full_unstemmed | Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
title_short | Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
title_sort | trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270908/ https://www.ncbi.nlm.nih.gov/pubmed/34244526 http://dx.doi.org/10.1038/s41598-021-93559-0 |
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