Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2022; 10(14): 4470-4479
Published online May 16, 2022. doi: 10.12998/wjcc.v10.i14.4470
Multi-slice spiral computed tomography in diagnosing unstable pelvic fractures in elderly and effect of less invasive stabilization
Jian-Guo Huang, Zhi-Yuan Zhang, Liang Li, Guang-Bao Liu, Xiong Li
Jian-Guo Huang, Zhi-Yuan Zhang, Department of Orthopedics, Sanya Hospital of Traditional Chinese Medicine, Sanya 572000, Hainan Province, China
Liang Li, Department of Orthopedics, Xi’an Honghui Hospital, Xi’an 710024, Shaanxi Province, China
Guang-Bao Liu, Department of Radiology, Sanya Hospital of Traditional Chinese Medicine, Sanya 572000, Hainan Province, China
Xiong Li, Department of Traumatic Orthopedics Sports Medicine, Yan’an Hospital of Traditional Chinese Medicine, Yan’an 716000, Shaanxi Province, China
Author contributions: Huang JG designs topics and writes articles; Zhang ZY collects patient case information; Li L organizes examination results; Liu GB statistically analyzes experimental results; Li X is responsible for research progress, article writing and revision.
Institutional review board statement: This study was approved by the Institutional Review Board of Sanya Hospital of Traditional Chinese Medicine.
Informed consent statement: All patients provided informed consent.
Conflict-of-interest statement: All authors declare no conflict of interest.
Data sharing statement: The date that support the findings of this study are available from the corresponding author upon reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiong Li, MBChB, Attending Doctor, Department of Traumatic Orthopedics Sports Medicine, Yan’an Hospital of Traditional Chinese Medicine, No. 26 Xuanyuan Avenue, New District, Yan’an 716000, Shaanxi Province, China. lixiongdr@163.com
Received: December 15, 2021
Peer-review started: December 15, 2021
First decision: January 26, 2022
Revised: February 17, 2022
Accepted: March 27, 2022
Article in press: March 27, 2022
Published online: May 16, 2022
Processing time: 148 Days and 22.1 Hours
ARTICLE HIGHLIGHTS
Research background

Bone loss can lead to changes in bone mechanics with age, and older people have more fragile pelvises than younger people. Multi-slice spiral computed tomography (CT) uses three-dimensional (3D) reconstruction technology to generate 3D images, so that the 3D space of fractures can be clearly observed, and the detection rate of fractures is higher.

Research motivation

This study investigated the value of multi-slice spiral CT 3D reconstruction in the diagnosis and treatment of unstable pelvic fractures in the elderly.

Research objectives

The study aimed to investigate the clinical value of multi-slice spiral CT 3D reconstruction in the diagnosis of unstable pelvic fractures in the elderly and the effect of less invasive stabilization.

Research methods

A total of 86 inpatients with unstable pelvic fractures underwent pelvic X-ray and multi-row spiral CT scanning from March 2016 to March 2019. The detection rates of fracture location and classification by X-ray and CT reconstruction were compared. Postoperative reduction, wound healing time, fracture healing time, hospitalization time, visual analog scale (VAS) score, poor internal fixation, and functional recovery were compared between groups the presence or absence of preoperative 3D reconstruction.

Research results

The coincidence rate of CT reconstruction in the clinical classification of pelvic fractures was 100%. The overall excellent and good rate of postoperative reduction and the overall functional recovery rate of the study group with preoperative 3D reconstruction were significantly higher than those of the control group. The wound healing time, fracture healing time, hospital stay, VAS score, and the total incidence of postoperative poor internal fixation were significantly lower in the study group than those in the control group.

Research conclusions

The guiding significance of multi-slice spiral CT for the diagnosis, classification, and treatment of unstable pelvic fractures in the elderly is high. Preoperative 3D reconstruction is effective for shortening the operation time and promoting postinjury and fracture healing. Minimally invasive internal fixation can effectively reduce pain and promote functional recovery of fracture sites.

Research perspectives

Multi-slice spiral CT can play a role in the diagnosis and treatment of unstable pelvic fractures in the elderly.