Title Dubens nepakankamumo lūžiai: diagnostika ir gydymo prioritetai /
Translation of Title Pelvic insufficiency fractures. Diagnostic aspects and treatment priorities.
Authors Vaitukaitis, Giedrius ; Petryla, Giedrius ; Šatkauskas, Igoris ; Uvarovas, Valentinas
DOI 10.15388/LietChirur.2017.11009
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Is Part of Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2017, t. 16, Nr. 3-4, p. 161-167.. ISSN 1392-0995. eISSN 1648-9942
Keywords [eng] pelvic insufficiency fractures ; osteoporosis ; low energy trauma
Abstract [eng] As the average of people lives increases pelvic insufficiency fractures, their timely diagnosis and treatment are becoming more severe problem. Purpose of this article is to review the main literature databases and provide relevant, diagnostic and therapeutic principles applicable to the pelvic insufficiency fractures. This literature review includes data from articles in Pubmed and Cochrane databases. Also overview and available data are provided from Republican Vilnius University Hospital which focuses on pelvic insufficiency fracture treatment. Lithuanian hospitals do not have a common database and conducted extensive research, which could be reliable to identify exact number of pelvic insufficiency fractures. Risk factors which impact fracture deficiencies are: long-term use of corticosteroids, rheumatoid arthritis, lumbar scoliosis, fracture and prior internal fixation of the proximal femur, osteochondrosis. If patient who has a risk factor is complaining about sudden, constant pain in lower back or any other pelvic area, then pelvic insufficiency fracture needs to be considered. When pelvic insufficiency fracture is suspected the main test to be carried out is plain radiography. Monitoring plain radiography or suspecting pubic bone fracture the CT scan is recommended. Effective treatment of pelvic insufficiency fracture needs to be in conjunction with the treatment of osteoporosis and bone fracture in the pelvis.
Published Vilnius : Vilniaus universiteto leidykla
Type Journal article
Language Lithuanian
Publication date 2017
CC license CC license description