Unit:
Κατεύθυνση Μεταβολικά Νοσήματα των ΟστώνLibrary of the School of Health Sciences
Supervisors info:
Γεώργιος Π. Λυρίτης, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Ισμήνη-Νίκη Α. Δοντά, Ομότιμη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Χρήστος Π. Ζαφείρης, Διδάκτωρ Ιατρικής Σχολής, ΕΚΠΑ
Original Title:
Κατάγματα πυελικού δακτυλίου σε οστεοπορωτικούς ασθενείς
Translated title:
Osteoporotic pelvic ring fractures
Summary:
The pelvic ring is a complicated anatomical structure which consists of the sacral bone, the iliac, ischial and pubic compartments and the pubic symphysis. In the elderly, osteoporotic fractures of the pelvic ring are often caused by low energy trauma. They are very rarely accompanied by neurological, vascular or endopelvic organ injuries. There has been a rise in the incidence of such trauma due to the increase of life expectancy, population aging and improvement of diagnostic and evaluation techniques. Pelvic ring fractures are often missed or underevaluated, resulting in remaining pain and great disability.
Thorough assessment of the clinical presentation and medical history of the patient along with the needed imaging tests are vital for choosing the suitable therapeutic approach. Pelvic ring fractures are classified according to many systems. The most popular one is Denis et al classification, which is slowly replaced by the Young-Burgess classification, based on the applied force’s direction. In 2013 a new categorization for the fragility fractures of the pelvic ring was published (FFP classification), which aids in the diagnosis and leads the treatment algorithm. The AO/OTA cooperative categorization was published in 2018 and can help improving common understanding of such pathologies.
Treatment sequence can be preservative or surgical and aims to pain management and rapid mobilization. However, it must always include the suitable osteoporotic therapy.
Main subject category:
Health Sciences
Keywords:
Pelvic ring, Osteoporosis, Fracture, Sacrum, Lesion
