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Cemented Sacroiliac Screw Fixation versus Conservative Therapy in Fragility Fractures of the Posterior Pelvic Ring: A Matched-Pair Analysis of a Prospective Observational Study
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 ob...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philipps-Universität Marburg
2023
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| Subjects: | |
| Online Access: | PDF Full Text |
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| Summary: | 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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| Item Description: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.3390/jcm12185850 |