Osteoporotic Fractures of the Pelvic Ring

被引:21
作者
Rommens, P. M. [1 ]
Wagner, D. [1 ]
Hofmann, A. [1 ]
机构
[1] Johannes Gutenberg Univ Mainz, Univ Med, Klin & Poliklin Unfallchirurg, Zentrum Muskuloskeletale Chirurg, D-55131 Mainz, Germany
来源
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE | 2012年 / 150卷 / 03期
关键词
pelvic ring; fracture; osteoporosis; fatigue fracture; spinopelvic dissociation; classification; transsacral positioning bar; angle stable plate; iliolumbar fixation;
D O I
10.1055/s-0032-1314948
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Due to the aging population, we are confronted with a growing number of osteoporotic and insufficiency fractures of the pelvic ring. They are the result of a low-energy trauma. With conventional X-rays, it is not always possible to identify the lesions. In all cases, additional CT or MRI examinations are necessary. The morphology of the lesions is very variable and represents a spectrum of instability. Conventional classification is not applicable for all fracture types. Therapy includes a wide range between conservative and operative concepts. The choice of treatment is determined by the degree and the localization of the instability. Osteosynthesis techniques differ from the techniques we use in adults. The trans-sacral positioning bar, iliolumbar fixation and angle stable plate osteosynthesis are used increasingly often.
引用
收藏
页码:331 / 341
页数:11
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