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Validated Radiographic Scoring System for Lateral Compression Type 1 Pelvis Fractures
| Content Provider | Scilit |
|---|---|
| Author | Beckmann, James Haller, Justin M. Beebe, Michael Ali, Ashley Presson, Angela Stuart, Ami Sagi, Henry Claude Kubiak, Erik |
| Copyright Year | 2020 |
| Description | Journal: Journal of Orthopaedic Trauma Objectives: To develop a radiographic fracture scoring system for lateral compression type 1 (LC-1) pelvic fractures based on OTA/AO survey data and to preliminarily evaluate this system within an LC-1 pelvis fracture cohort. Design: Survey study with validation patient cohort. Setting: Two Level 1 academic trauma centers. Patients/Participants: Attendings (n=111) at the 2013 OTA/AO national meeting reviewed imaging from 27 LC-1 fractures and indicated surgical recommendations (“yes/no”). A separate LC-1 fracture cohort (33 patients) was used to evaluate the scoring system. Intervention: The LC-1 scoring system (range: 5–14) based on radiographic morphology of sacral, superior ramus (SR), and inferior ramus (IR) fracture components. Main Outcome Measurement: Numeric scores were compared against (1) OTA/AO attendees' operative recommendations and (2) LC-1 cohort treatment and outcomes. Results: Operative tendency of OTA/AO survey respondents—defined as the percent of “yes” responses to recommend surgical stabilization—was highly correlated with radiographic findings: sacral displacement {odds ratio (OR) = 18.9 [95% confidence interval (CI): 11.7–30.6]}; sacral column 2–3 versus 1 [OR = 5.7 (95% CI: 3.9–8.3)]; Denis classification [OR = 10 (95% CI: 6.7–14.9); IR displacement OR = 3.4 (95% CI: 2.3–4.8)]; and SR fracture [OR = 1.9 (95% CI: 1.3–2.8)]. Total scores 9 were 89% accurate in predicting an operative recommendation. In the LC-1 cohort, scoring accuracy was 100% (95% CI: 85%–100%). Conclusions: Based on survey results and patient cohort data, scores 9 indicate surgical recommendations, and scores 7–9 indicate indeterminate stability that should be further evaluated. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982580/pdf |
| Ending Page | 76 |
| Page Count | 7 |
| Starting Page | 70 |
| ISSN | 08905339 |
| e-ISSN | 15312291 |
| DOI | 10.1097/bot.0000000000001639 |
| Journal | Journal of Orthopaedic Trauma |
| Issue Number | 2 |
| Volume Number | 34 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2020-02-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Orthopaedic Trauma Pelvic Fracture Pelvis Fracture Pelvis Stability |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery Sports Science |
