Operative Versus Nonoperative Treatment of Stress-Positive Lateral Compression Type 1 Pelvic Ring Injuries: A Multicenter Retrospective Propensity-Matched Analysis

作者：Lucas S. Marchand, Justin M. Haller, Lillia Steffenson, Tyler Thorne, Élcio Hideo Sato, Stephen J, Shymon. MD, C. S., K T, Graham J. DeKeyser, Zachary M. Working, Catherine E. Hutchison, Michelle M. Lawson, Natasha S. McKibben, Danielle F. Peterson, Nicholas J. Tucker, Joshua A. Parry, Benjamin Brooks, Maddy Larson, Edward Kranz, Carly D. Robinson, Cody Leo Walters, Aziz Saade, Hannah K. Day, Shannon Tse, Kelly, Aseem BS, Walker, Aliyah BS, Javier Guerrero, Augustine M. Saiz, Nikhil Gattu, Gardner, Samantha BS, Stephen J. Warner, Patrick J. Kellam, Milton L. Chip Routt, Jonathan G. Eastman, Lee, Christopher MD, Erik N. Mayer, Bailey Mooney, Joseph T. Patterson, Andrew Duong, Phillip Chung, Julian Wier, Andrew Dobitsch, Jacob A. Becerra, Ian Hasegawa, Haley Nakata, Kareem J. Kebaish, Aresh Sepehri, Lee, Christopher MD, Erik N. Mayer, Bailey Mooney, Jeannie Park · 发表于：Journal of Orthopaedic Trauma · 年份：2025 · DOI：10.1097/bot.0000000000003108 · 被引用次数：2 · 研究领域：Pelvic and Acetabular Injuries、Urological Disorders and Treatments、Abdominal Trauma and Injuries

OBJECTIVES: To compare outcomes of operative versus nonoperative management of stress-positive lateral compression type 1 (LC1) pelvic ring injuries. DESIGN: Multicenter retrospective study. SETTING: Eight level 1 trauma centers. PATIENTS SELECTION CRITERIA: Patients with minimally displaced stress-positive LC1 pelvic ring injuries (OTA/AO 61B2) treated with acute operative (≤3 days) versus nonoperative management. OUTCOME MEASURES AND COMPARISONS: Propensity matching was used to compare operative versus nonoperative groups in terms of hospital length of stay (LOS), maximum feet ambulated while hospitalized, discharge to home versus a facility, unassisted ambulation at last follow-up, and mortality. RESULTS: There were 224 patients included: 139 operative and 85 nonoperative. Operative versus nonoperative patients were similar in terms of age (47.0 vs. 59.0, P = 0.06), female gender (61.2% vs. 68.2%, P = 0.32), and follow-up duration (159 vs. 122 days, P = 0.05), and were more likely to have complete sacral fractures (63.3% vs. 35.3%; P =<0.0001), and less likely to be injured in ground-level falls (17.3% vs. 32.9%; P = 0.007) and to have baseline-assisted ambulation (5.8% vs. 16.4%; P = 0.008). After matching for these differences, operative versus nonoperative patients (77 vs. 77) had a lower mortality rate (5.2% vs. 15.6%, P = 0.04), and were similar in terms of follow-up duration (134 vs. 122 days, P = 0.39), max feet ambulated while hospitalized (16.5 vs. 50.0 feet, P = ...