Journal article
Anterior and posterior fixation versus posterior fixation only of minimally displaced lateral compression type 1 pelvic ring injuries: A multicenter propensity-matched analysis Orthopaedic Trauma Research Group
Injury, Vol.57(2), 112964
02/2026
DOI: 10.1016/j.injury.2025.112964
PMID: 41500149
Abstract
AbstractIntroductionThe ideal fixation construct for treatment of stress-positive lateral compression type 1 (LC1) pelvic ring injuries is controversial. The purpose of this study was determine if anterior and posterior fixation (AF+PF) versus posterior fixation only (PF) of patients with LC1 pelvic ring injuries is associated with home discharge. Patients and MethodsA multicenter retrospective review was performed at eight level one trauma centers of adult patients with stress-positive minimally displaced LC1 pelvic ring injuries (OTA/AO 61B) treated with AF+PF versus PF. Outcomes included length of stay, maximum feet ambulated with physical therapy (PT) while hospitalized, discharge disposition, independent ambulation at last follow-up, and mortality. AF+PF versus PF patients were compared in terms of age, sex, Charleston Comorbidity Index (CCI), injury mechanism, and Beckman score. Propensity-matching was used to control for group differences. ResultsThere were 434 patients included; 64.5% (n=280) treated with AF+PF and 35.5% (n=154) with PF. Patients treated with AF+PF, versus PF, were older (47.0 vs. 38.0 years; p=0.01), had a higher CCI (0 vs 0; p=0.02), a higher Beckman score (8.0 vs. 7.0; p=0.04), more low-energy falls (18.6% vs. 8.4%; p=0.004), less independent ambulators (92.1% vs 97.4%; p=0.03), and more rami fractures with 100% displacement (26.8% vs. 12.3%; p=0.0004). The groups did not differ in gender, complete sacral fractures, days to surgery, or follow-up duration (p>0.05). Propensity-matching resulted in two groups of 141 patients, similar in age, CCI, Beckman score, low-energy falls, 100% rami fracture displacement, and follow-up duration (p>0.05). On matched analysis, patients treated with AF+PF, versus PF, spent fewer days in the hospital (7.0 vs. 8.0; p=0.03) and were more likely to discharge home (76.6% vs. 63.1%; p=0.0005). There was no observed difference between groups in terms of feet ambulated with PT, independent ambulation at last follow-up, or mortality (p>0.05). ConclusionMatched patients with stress-positive minimally displaced LC1 injuries treated with AF+PF compared to PF spent fewer days in the hospital and were more likely to discharge home. Level of EvidenceTherapeutic Level III.
Details
- Title: Subtitle
- Anterior and posterior fixation versus posterior fixation only of minimally displaced lateral compression type 1 pelvic ring injuries: A multicenter propensity-matched analysis Orthopaedic Trauma Research Group
- Creators
- Lucas S MarchandJustin HallerLillia SteffensonTyler ThorneEllie SatoStephen J ShymonDaniel S ChoiMichael T KodyGraham J DeKeyserZachary M WorkingCatherine E HutchisonMichelle M LawsonNatasha S McKibbenDanielle F PetersonNicholas J TuckerJoshua A ParryBranden BrooksMaddy LarsonEdward KranzCarly Ann RobinsonCody Leo WaltersAziz SaadeHannah DayShannon TseAseem KellyAliyah WalkerJavier GuerreroAugustine SaizNikhil GattuSamantha GardnerStephen J WarnerPatrick KellamMilton L. “Chip” RouttJonathan EastmanChristopher LeeErik MayerBailey MooneyJeannie ParkJoseph T PattersonAndrew DuongPhillip ChungJulian WierAndrew DobitschJacob BecerraIan HasegawaHaley NakataKareem KabaishAresh Sepehri
- Resource Type
- Journal article
- Publication Details
- Injury, Vol.57(2), 112964
- DOI
- 10.1016/j.injury.2025.112964
- PMID
- 41500149
- NLM abbreviation
- Injury
- ISSN
- 0020-1383
- eISSN
- 1879-0267
- Publisher
- Elsevier
- Language
- English
- Electronic publication date
- 12/12/2025
- Date published
- 02/2026
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9985096046302771
Metrics
3 Record Views