Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis

Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis

Abstract 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...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Daniel Wagner, Miha Kisilak, Geoffrey Porcheron, Sven Krämer, Isabella Mehling, Alexander Hofmann, Pol M. Rommens
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
Medicine
R
Science
Q
Acceso en línea:https://doaj.org/article/0180fa0b02544160a646ca3c9935c8c1
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:0180fa0b02544160a646ca3c9935c8c1
record_format dspace
spelling oai:doaj.org-article:0180fa0b02544160a646ca3c9935c8c12021-12-02T18:34:06ZTrans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis10.1038/s41598-021-93559-02045-2322https://doaj.org/article/0180fa0b02544160a646ca3c9935c8c12021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93559-0https://doaj.org/toc/2045-2322Abstract 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%.Daniel WagnerMiha KisilakGeoffrey PorcheronSven KrämerIsabella MehlingAlexander HofmannPol M. RommensNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daniel Wagner
Miha Kisilak
Geoffrey Porcheron
Sven Krämer
Isabella Mehling
Alexander Hofmann
Pol M. Rommens
Trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis
description Abstract 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 article
author Daniel Wagner
Miha Kisilak
Geoffrey Porcheron
Sven Krämer
Isabella Mehling
Alexander Hofmann
Pol M. Rommens
author_facet Daniel Wagner
Miha Kisilak
Geoffrey Porcheron
Sven Krämer
Isabella Mehling
Alexander Hofmann
Pol M. Rommens
author_sort Daniel Wagner
title 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_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_sort trans-sacral bar osteosynthesis provides low mortality and high mobility in patients with fragility fractures of the pelvis
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0180fa0b02544160a646ca3c9935c8c1
work_keys_str_mv AT danielwagner transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
AT mihakisilak transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
AT geoffreyporcheron transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
AT svenkramer transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
AT isabellamehling transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
AT alexanderhofmann transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
AT polmrommens transsacralbarosteosynthesisprovideslowmortalityandhighmobilityinpatientswithfragilityfracturesofthepelvis
_version_ 1718377899003740160

Ejemplares similares