Lumbopelvic Fixation Versus Novel Adjustable Plate for Displaced Sacral Fracture

Study Overview
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Brief Summary
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Patients of unilaterally displaced sacral fractures fixed with lumbopelvic technique or novel adjustable plate from June 2011 to June 2017 were recruited into this study and were divided into two groups: group A (lumbopelvic fixation) and groups B (novel adjustable plate). Surgical time, intraoperative blood loss, frequency of intraoperative fluoroscopy, reduction quality, related complications were reviewed. Fracture healing was assessed by the radiographs conducted at follow-up. Functional outcome was evaluated according to the Majeed score at the final follow-up.

Detailed Description
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Patients of unilateral displaced sacral fractures from June 2011 to June 2017 were recruited into this study. The inclusion criteria were as follows: 18-65 years, with normal activity ability before injury, fixed with lumbopelvic technique or novel adjustable plate, completed more than a year follow-up. The exclusion criteria were as follows: pathologic fractures, open fractures, associated with other severe injuries (traumatic brain injury), risk factors affecting bone healing (osteoporosis, smoking, and metabolic diseases) and non-completion of one-year follow-up. Surgical time, intraoperative blood loss, frequency of intraoperative fluoroscopy, related complications were reviewed. Reduction quality was assessed on the postoperative radiographs and CT scans. Functional outcome was evaluated according to the Majeed score system at the final follow-up.

Official Title
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Lumbopelvic Fixation Versus Novel Adjustable Plate for Displaced Sacral Fractures: A Retrospective Cohort Study

Conditions
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Reduction Deformity of Limb

Intervention / Treatment
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* Device: lumbopelvic fixation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-65 years, with normal activity ability before injury Fixed with lumbopelvic technique or novel adjustable plate Completed more than a year follow-up Exclusion Criteria: Pathologic fractures Open fractures Associated with other severe injuries (traumatic brain injury) Risk factors affecting bone healing (osteoporosis, smoking, and metabolic diseases) Non-completion of one-year follow-up

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| lumbopelvic fixation<br>sacral fractures fixed with lumbopelvic fixation | |
| novel adjustable plate<br>sacral fractures fixed with novel adjustable plate | Device: lumbopelvic fixation<br>* Sacral fractures fixed with lumbopelvic fixation or novel adjustable plate were divided into two groups. Surgical time, intraoperative blood loss, frequency of intraoperative fluoroscopy, reduction quality, related complications, and functional outcome were reviewed.<br>* Other names: novel adjustable plate;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative reduction quality of sacral fractures after different surgical techniques | maximum displacement distance of the sacral fracture in the postoperative CT scans | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the incidence of complication | the incidence of wound infection, iatrogenic injury of vessels and nerves, nonunion | 1 year |