Treatment of Pelvic Ring Fractures in the Elderly

Launched by UNIVERSITY HOSPITAL, BASEL, SWITZERLAND · Oct 27, 2015

Keywords

ClinConnect Summary

Comparison of surgical vs conservative treatment with respect to mobility, pain, morbidity and mortality.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • CTI/MRI verified fracture of the sacrum affecting the posterior ring or both posterior and anterior ring
• • age\>65 years, ambulatory with/without walking aids before Trauma
• • ambulatory with/without walking aids before trauma
• • postmenopausal status in women
• • informed consent for study participation and surgery
• Exclusion Criteria:
• • Refusal of consent by the patient or legal representatives to participate in the study
• • Other fractures or
• • Unstable pelvic fracture (type B or C according to classification of 'Arbeitsgemeinschaft für Osteosynthesefragen' (AO)/OTA) requiring surgical stabilisation after high- or low-energy trauma
• • Suspicion of a pathological fracture in the context of known or unknown malignancy
• • Previous surgery of the pelvis with metal obstructing the planned paths of the ilio-sacral screws
• • Symptomatic low back pain with morphological changes, i.e. intervertebral disc displacement, neoplasm metastasis in the axial skeleton, spinal stenosis, vertebral fracture, spondylarthropathy etc.
• • Comorbidity that precludes undergoing general or spinal anaesthesia
• • Pre-trauma mobility status that precludes achieving a post-trauma mobility status enabling the patient to perform the timed up and go test (e.g. patient being in a wheel chair)