Universität zu Köln

Hopf, Johannes Christof, Krieglstein, Christian F., Mueller, Lars P. and Koslowsky, Thomas C. (2015). Percutaneous iliosacral screw fixation after osteoporotic posterior ring fractures of the pelvis reduces pain significantly in elderly patients. Injury-Int. J. Care Inj., 46 (8). S. 1631 - 1637. OXFORD: ELSEVIER SCI LTD. ISSN 1879-0267

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Abstract

Introduction: Osteoporotic posterior ring fractures of the pelvis are common injuries in the elderly, but the treatment of these fractures still remains controversial. Percutaneous iliosacral screw fixation is one surgical option if conservative treatment cannot provide sufficient pain reduction. The aim of this study is to provide short-term results of elderly patients with percutaneous screw fixation. Methods: 30 patients with posterior ring fractures were treated between 12/2009 and 01/2014 with percutaneous iliosacral screw fixation. Patients' mean age was 78.4 years. Concerning short-term outcome, we focused on initial pain level and postoperative pain reduction together with intra-and postoperative complications. Results: The average hospital stay was 23.7 days, with surgical treatment performed after an average of 9.2 days. 90% of our patients were female. All 30 patients had a lower level of pain at discharge compared with admission or immediately prior to surgery. The difference in pain level at admission compared with the pain level upon discharge showed a mean reduction from 6.8 to 1.8 with a statistically significant change (P <= 0.001). 24 of 30 patients had no registered complications, one screw malpositioning with postoperative nerve irritation occurred. Discussion: Conventional percutaneous iliosacral screw fixation is a successful operative treatment for elderly patients with persistent lower back pain after unstable posterior ring fractures of the pelvis. Intra-and postoperative complications are rare, so this treatment can be regarded as a safe procedure. Level of evidence: IV (retrospective study). (C) 2015 Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hopf, Johannes Christof UNSPECIFIED UNSPECIFIED UNSPECIFIED Krieglstein, Christian F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koslowsky, Thomas C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-397003
DOI:	10.1016/j.injury.2015.04.036
Journal or Publication Title:	Injury-Int. J. Care Inj.
Volume:	46
Number:	8
Page Range:	S. 1631 - 1637
Date:	2015
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1879-0267
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SACRAL INSUFFICIENCY FRACTURES; ACETABULAR FRACTURES; PLACEMENT; RATES; STABILIZATION; COMPLICATIONS; SACROPLASTY; MODALITIES; DISABILITY; AGE Multiple languages Critical Care Medicine; Emergency Medicine; Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39700