title: Lateral compression type B 2-1 pelvic ring fractures in young patients do not require surgery.
abstract: OBJECTIVE
  According to Young and Burgess, type B 2-1 pelvic fractures are a type of lateral compression fracture (LC-1) and are the most common pelvic injury at all ages. Although they are considered unstable in rotation and despite biomechanical recommendations for anterior stabilization, most authors recommend non-operative treatment. However, studies comparing outcomes and complications regarding operative versus non-operative treatment are still scarce.
  
  
  METHODS
  Seventy-one patients aged under 65 years with a type B 2-1 pelvic fracture were treated between 2006 and 2011. Patients in Group I (n = 35) were treated non-operatively and patients in Group II (n = 36) were treated operatively. Postoperative complications, clinical course, and follow-up (VAS for Pain, SF 36, EQ-5D) of at least 1 year postoperatively were evaluated.
  
  
  RESULTS
  Our data show that operatively treated patients had a significantly higher complication rate. Preoperatively, the only significant difference between the non-operative and operative groups was the amount of anterior fracture dislocation and the presence of an isolated pelvic ring fracture. In the postoperative follow-up, no significant differences were found regarding pain or quality of life.
  
  
  CONCLUSIONS
  Type B 2-1 pelvic ring fractures in young patients should be treated non-operatively.
authors.affiliation: Department of Orthopaedics, Trauma and Plastic Surgery, Center for Musculoskeletal Research, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany. Andreas.Hoech@medizin.uni-leipzig.de.
authors.forename: A
authors.initials: A
authors.lastname: Höch
authors.affiliation: Department of Orthopaedics, Trauma and Plastic Surgery, Center for Musculoskeletal Research, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
authors.forename: I
authors.initials: I
authors.lastname: Schneider
authors.affiliation: Department of Orthopaedics, Trauma and Plastic Surgery, Center for Musculoskeletal Research, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Todd
authors.affiliation: Department of Orthopaedics, Trauma and Plastic Surgery, Center for Musculoskeletal Research, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Josten
authors.affiliation: Department of Orthopaedics, Trauma and Plastic Surgery, Center for Musculoskeletal Research, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Böhme
mesh_terms: D000328:Adult; D000367:Age Factors; D015331:Cohort Studies; D000072700:Conservative Treatment; D005260:Female; D050723:Fractures, Bone / Q000601:surgery / Q000628:therapy*; D050815:Fractures, Compression / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D011183:Postoperative Complications; D016896:Treatment Outcome
keywords: Lateral compression fractures; Outcome; Pelvic ring fracture; Sacral fracture; Treatment