title: Outcomes of displaced and nondisplaced pelvic and sacral fractures in elderly adults.
abstract: OBJECTIVE
  To identify fracture types in a series of older adults with pelvic fractures and to determine whether the type of pelvic fracture affected short-term outcomes and morbidity.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Teaching hospital.
  
  
  METHODS
  One hundred eighty-one individuals aged 65 and older with low-energy pelvic fractures.
  
  
  METHODS
  Fracture type, in-hospital complications, mortality, maximal return to function, and return to living situation.
  
  
  RESULTS
  Of the 181 participants, 119 had unilateral displaced pubic rami fractures, 38 had nondisplaced pubic rami fractures, 14 had sacral insufficiency fractures, and 10 had bilateral displaced pubic rami fractures. There were no significant differences found in participant age; comorbidities; diagnosis of dementia; in-hospital complications; or 30-day, 90-day, or 1-year mortality rates between fracture types. Fracture type did not affect the ability of the participants to return home or their use of ambulatory aid.
  
  
  CONCLUSIONS
  For older adults, morbidity and mortality rates for nondisplaced pubic rami fractures and sacral insufficiency fractures are similar to those for displaced pelvic fractures.
authors: Department of Orthopaedic Surgery, The Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. ehenze1@jhmi.edu
authors: Simon C
authors: SC
authors: Mears
authors: Daniel J
authors: DJ
authors: Berry
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000401:mortality; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D012447:Sacrum / Q000293:injuries*