Fragility Fractures of the Pelvis

Description

Thanks to an increasing life expectancy of our populations the number of elderly persons is steadily growing and will continue to do so. Among these, the rate of persons with illnesses and degenerative diseases is significant. The prevalence of osteoporosis is especially high in elderly women and leads to typical fracture patterns. Hip fractures, proximal humerus fractures, distal radius fractures and fractures of the vertebral column are the most common. In the last decade, we are confronted with a sharp increase of fragility fractures of the pelvis. Until now, there is no consensus on how to identify and classify these lesions and there are no guidelines for treatment and after treatment. In particular, there is no common view on which patients need an operative treatment and which technique of osteosynthesis should be used. This book fills the gap in available literature and gives a state of the art guide to the treatment of fragility fractures of the pelvis. With the sharp increase of these fractures and the lacking consensus, Fragility Fractures of the Pelvis will become indispensable for the physicians who take care of elderly patients with this pathology. Written by a team of expert opinion leaders, the aim of this book is to contribute to the scientific discussion in this area and to help provide the optimal care for these patients. Front Matter ....Pages i-xiii Front Matter ....Pages 1-1 Epidemiology and Demographics (Matthew P. Sullivan, Jaimo Ahn)....Pages 3-8 Personality of Fragility Fractures of the Pelvis (Pol Maria Rommens, Alexander Hofmann)....Pages 9-22 Sacral Morphology (Daniel Wagner, Lukas Kamer, Pol Maria Rommens)....Pages 23-33 Bone Mass Distribution in the Sacrum (Daniel Wagner, Lukas Kamer, Pol Maria Rommens)....Pages 35-42 Front Matter ....Pages 43-43 Clinical Presentation (Christian Fang, Tak-Man Wong, Tak-Wing Lau, Frankie Leung)....Pages 45-54 Radiological Assessment (Karl-Friedrich Kreitner)....Pages 55-65 Front Matter ....Pages 67-67 Classification of Fragility Fractures of the Pelvis (Pol Maria Rommens, Alexander Hofmann)....Pages 69-80 Front Matter ....Pages 81-81 Non-Operative Treatment (Toru Sato, Naofumi Shiota, Takeshi Sawaguchi)....Pages 83-95 Operative Management (Peter V. Giannoudis, Dionysios Giannoulis)....Pages 97-104 Sacroplasty (Johannes D. Bastian, Marius J. B. Keel)....Pages 105-117 Front Matter ....Pages 119-119 Iliosacral Screw Osteosynthesis (Pol Maria Rommens, Daniel Wagner, Alexander Hofmann)....Pages 121-137 Iliosacral Screw Fixation with Cement Augmentation (Michael Raschke, Thomas Fuchs)....Pages 139-144 Transsacral Bar Osteosynthesis (Alexander Hofmann, Pol Maria Rommens)....Pages 145-156 Bridging Plate Osteosynthesis (Thomas Hockertz)....Pages 157-164 Transiliac Internal Fixator (Michael Müller, Paul Schmitz, Michael Nerlich)....Pages 165-174 Triangular Osteosynthesis and Lumbopelvic Fixation (Thomas A. Schildhauer, Jens R. Chapman)....Pages 175-189 Plate and Screw Fixation of the Ilium (Martin H. Hessmann)....Pages 191-201 Front Matter ....Pages 203-203 External Fixation (Steven C. Herath, Tim Pohlemann)....Pages 205-210 Retrograde Transpubic Screw Fixation (Pol Maria Rommens, Daniel Wagner, Alexander Hofmann)....Pages 211-223 Plate Osteosynthesis, Subcutaneous Internal Fixation and Anterior Pelvic Bridge Fixation (Peter A. Cole, Evgeny A. Dyskin, Jeffrey A. Gilbertson, Edgar Mayr)....Pages 225-248 Front Matter ....Pages 249-249 Anti-Resorptive Therapy (Emily E. Carmody)....Pages 251-259 Parathyroid Hormone (Lukas A. Holzer, Gerold Holzer)....Pages 261-267 Front Matter ....Pages 269-269 Aftercare (Stephen L. Kates, Gillian Soles)....Pages 271-280 Front Matter ....Pages 281-281 Outcome (Georg Osterhoff, Kelly A. Lefaivre)....Pages 283-291 Front Matter ....Pages 293-293 Case Presentations (Pol Maria Rommens, Alexander Hofmann)....Pages 295-315 Back Matter ....Pages 317-323