The long-term results of nonoperatively treated major pelvic disruptions.
Twenty-six patients with major anterior-posterior pelvic disruptions not involving the acetabulum were reevaluated an average of 8 years (minimum 5 years) after injury. All pelvic injuries were treated nonoperatively. Subjective complaints at the time of follow-up included frequent or daily low back discomfort (50%), localized distal dysesthesias (46%), and some degree of work disability (38%). Objective neurologic deficit (42%) and a limp (32%) were often detected on examination. The amount of residual vertical displacement was measured on plain AP radiographs and graded as none, displaced less than 1 cm, or displaced greater than 1 cm. The long-term outcome correlated exceptionally well with both the amount of residual vertical displacement and the stability of the fracture.
Henderson
R C
RC
University of North Carolina School of Medicine, Chapel Hill.
D000293:Adolescent; D000328:Adult; D001416:Back Pain / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications / Q000628:therapy*; D005684:Gait; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology; D010384:Pelvic Bones / Q000293:injuries*; D011379:Prognosis; D012677:Sensation