Geriatric Lateral Compression 1 Pelvic Fractures
Lateral Compression 1 Pelvic Fracture
About this trial
This is an interventional treatment trial for Lateral Compression 1 Pelvic Fracture focused on measuring Lateral compression, Operative, Non-operative, Fragility fracture, Pelvic fracture, Percutaneous pelvis screw, Osteoporosis
Eligibility Criteria
Inclusion Criteria: Patients >/= 60 years of age Lateral compression 1 pelvic ring fractures confirmed with plain radiographs, CT and/or MRI Low energy mechanism of injury or an insufficiency fracture without a precipitating event Acute injury within four weeks of presentation Inability or significant pain to mobilize with physical therapy assistance for 48 hours: Significant pain as determined by a pain score ≥ 7 with the Visual Analogue Scale (VAS) after a Timed "Up & Go" (TUG) assessment, or inability to complete the TUG assessment. Exclusion Criteria: Dementia Vertically or rotationally unstable pelvic ring injuries Pathologic fracture secondary to tumor Non-ambulatory prior to injury Acute neurologic deficit High-energy mechanism of injury Concomitant injuries affecting ambulation Presence of another injury or medical condition that prevents ambulation Presence of implant or sacral morphology that prevents percutaneous sacral fixation Enrollment in another research study the precludes co-enrollment Likely problems, in the judgement of the investigators, with maintaining follow-up (i.e. patients with no fixed address, etc.) Incarcerated or pending incarceration
Sites / Locations
- Allina Health
- HealthPartners, Regions HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Operative
Non-operative
Percutaneous transiliac-transsacral screw fixation
Pain management and physical therapy advanced with weight bearing as tolerated.