| Abstract [eng] |
Introduction As the quality of life and functional outcomes after various types of pelvic fractures remain controversial, and we do not have any data in Lithuania, we initiated a prospective data analysis study to compare treatment options, surgical methods, mortality and influencing factors of the most common pelvic fractures. In addition, we analysed the functional outcomes and quality of life after spinopelvic dissociation cases using a validated MS questionnaire. Clinical trial methodology Patients who were hospitalized for pelvic fractures were included in the study. Subjects were treated according to hospital algorithms of pelvic fracture treatment. Patients completed MS and SF-36 questionnaires during hospitalization, after 2 months, and after 12 months. Based on radiological images and the mechanism of trauma, the fracture types of the subjects were determined, according to which the subjects were grouped, and the quality of life, mortality and functional results were analysed. Results 1. The psychometric properties of the MS questionnaire are good for assessing functional pelvic outcomes one year after trauma. 2. No statistically significant difference was observed in functional outcomes and quality of life at 10 weeks between surgically and conservatively treated patients with type B2.1 pelvic fracture. 3. There was no statistically significant difference in functional outcomes and quality of life after one year between the different fixation methods for type B2 pelvic fractures. 4. One-year mortality rate in elderly patients (≥ 65 years) after pelvic insufficiency fractures is 23.8%. 5. Five of the sixteen patients returned to their pre-traumatic functional state one year after spinopelvic dissociation. Conclusions The MS questionnaire is suitable for evaluating pelvic functional outcomes one year after the injury for the Lithuanian population. For type B2.1 pelvic fractures, surgical treatment does not improve functional outcomes and quality of life in the short-term. A less invasive method of surgery for type B2 pelvic fractures does not impair quality of life and functional outcomes after one year. Mortality in the one-year period after pelvic insufficiency fractures is high in the elderly group, and the influencing factor is age. Patients with spinopelvic dissociation have significantly reduced functional outcomes that affected physical activity at work and in daily life. |
