Cemented Sacroiliac Screw Fixation versus Conservative Therapy in Fragility Fractures of the Posterior Pelvic Ring: A Matched-Pair Analysis of a Prospective Observational Study

被引:0
|
作者
Aigner, Rene [1 ]
Foehr, Jan [1 ]
Lenz, Julia [1 ]
Knauf, Tom [1 ]
Baeumlein, Martin [1 ]
Ruchholtz, Steffen [1 ]
Oberkircher, Ludwig [1 ,2 ]
Hack, Juliana [1 ]
机构
[1] Univ Hosp Giessen & Marburg GmbH, Ctr Orthopaed & Trauma Surg, D-35043 Marburg, Germany
[2] Dept Trauma Surg Orthopaed Surg & Arthroplasty, Med Campus Bodensee, D-88048 Friedrichshafen, Germany
关键词
geriatric pelvic fracture; sacroiliac screw; conservative therapy; outcome; quality of life; CLASSIFICATION;
D O I
10.3390/jcm12185850
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to compare the outcome of cemented sacroiliac screw fixation to that of conservative treatment in nondisplaced fragility fractures of the sacrum during a 12-month follow-up. Therefore, matched-pair analysis including 40 patients from a previously performed prospective observational study was conducted. Pain was assessed using the visual analogue scale (VAS), functional capabilities and mobility were assessed using the Barthel index, and health-related quality of life (HRQL) was assessed using the EQ-5D questionnaire at 6 weeks, 6 months, and 12 months after the fracture, respectively. No significant differences between the two groups were seen regarding pain. In the operative group, a significantly improved Barthel index was observed after 6 months. A significantly higher HRQL was identified after 6 weeks in the operative group. Their mobility was comparable between the two groups before the fracture; after 6 weeks, mobility was significantly improved in the operative group. After 12 months, no significant differences were found regarding the functional outcome, HRQL or mobility. The 1-year mortality rate was 25% in the conservative group versus 5% in the operative group (not statistically significant). The present study revealed favorable short-term outcomes concerning the functional outcome, HRQL and mobility after sacroiliac screw fixation. After 12 months, the outcomes were similar to those of the patients managed conservatively.
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页数:11
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