Universität zu Köln

Osterhoff, Georg ORCID: 0000-0001-5051-0998, Scheyerer, Max J., Spiegl, Ulrich J., Schnake, Klaus J. and Siekmann, Holger (2019). Quantification of treatment success for geriatric sacral fractures. Unfallchirurg, 122 (4). S. 293 - 299. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

BackgroundGeriatric sacral fractures represent an independent fracture entity of increasing incidence and growing socioeconomic relevance. The goals of treatment are very different to those in younger patients with high-energy pelvic fractures. Hence, new outcome measurement instruments are required in order to assess the success of treatment.ObjectiveLiterature review summarizing existing concepts and providing an overview of outcome measurement instruments for geriatric sacral fractures.MethodsNarrative review article based on an analysis of the German and English-speaking literature from the last 10years.ResultsGeriatric sacral fractures result in impaired mobility, increased physical and social loss of dependency and increased morbidity and mortality rates. There is alack of standardized specific assessment procedures for functional outcome measurement after geriatric sacral fractures. Until these are developed and validated, aparallel acquisition of mortality, the timed up and go test, the Oswestry disability index (ODI) and ageneric healthcare questionnaire score (SF-36, EQ-5D) seem to be most suitable.ConclusionAt present our knowledge about the natural course of geriatric sacral fractures is limited by the lack of well-validated instruments to measure functional and radiographic outcomes. This has to be considered when evaluating the success of new treatment options for these patients. Future studies should validate existing scores for this population and develop new specific outcome instruments.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Osterhoff, Georg UNSPECIFIED orcid.org/0000-0001-5051-0998 UNSPECIFIED Scheyerer, Max J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spiegl, Ulrich J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnake, Klaus J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siekmann, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-152325
DOI:	10.1007/s00113-018-0511-x
Journal or Publication Title:	Unfallchirurg
Volume:	122
Number:	4
Page Range:	S. 293 - 299
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PELVIC RING; INSUFFICIENCY FRACTURES; FUNCTIONAL OUTCOMES; EPIDEMIOLOGY; RELIABILITY; MOBILITY; CLASSIFICATION; DISRUPTIONS; MORTALITY; DIAGNOSIS Multiple languages Emergency Medicine; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15232