[Sacral fractures in geriatric patients]. / Sakrumfrakturen beim geriatrischen Patienten.
Z Gerontol Geriatr
; 55(4): 331-341, 2022 Jul.
Article
em De
| MEDLINE
| ID: mdl-35641795
Sacral fractures in geriatric patients are increasing and form a distinct entity. Clinical findings can be unspecific, which is why they are easily overlooked. It is mandatory to analyze the whole pelvic ring for evaluation of pelvic stability and for making treatment decisions. The primary diagnostics are made using plain Xradiography; however, for assessment of the posterior pelvic ring an examination using sectional imaging is regularly necessary. The fragility fractures of the pelvis (FFP) classification is suitable as a guideline for the surgical treatment to be used. Stable fractures without relevant displacement after initial mobilization should be treated conservatively. Instability, failure of mobilization and persistent pain are, however, common reasons for surgical treatment. Fracture displacement determines if minimally invasive procedures for posterior and anterior pelvic ring stabilization are possible. Otherwise, complex open procedures such as spinopelvic fixation may be necessary.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ossos Pélvicos
/
Fraturas da Coluna Vertebral
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Fraturas Ósseas
Tipo de estudo:
Guideline
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Observational_studies
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Prognostic_studies
Limite:
Aged
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Humans
Idioma:
De
Revista:
Z Gerontol Geriatr
Assunto da revista:
GERIATRIA
Ano de publicação:
2022
Tipo de documento:
Article