Huang JG, Zhang ZY, Li L, Liu GB, Li X. Multi-slice spiral computed tomography in diagnosing unstable pelvic fractures in elderly and effect of less invasive stabilization. World J Clin Cases 2022; 10(14): 4470-4479 [PMID: 35663060 DOI: 10.12998/wjcc.v10.i14.4470]
Corresponding Author of This Article
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
Research Domain of This Article
Orthopedics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Clin Cases. May 16, 2022; 10(14): 4470-4479 Published online May 16, 2022. doi: 10.12998/wjcc.v10.i14.4470
Table 1 Fracture site detection by X-ray versus computed tomography (cases, n)
Fracture site
X-ray
CT
Pubic symphysis
4
10
Iliac wing
7
19
Sacroiliac periarticular
11
35
Sacral
7
19
Table 2 Tile classification of different fractures (cases, n)
Type
X-ray
MPR
VR
MIP
B1
10
11
11
11
B2
60
66
66
66
B3
3
4
4
4
C1
2
5
5
5
Table 3 Postoperative conditions by study group (mean ± SD)
Groups
Cases
Operation time (h)
Fracture healing time (wk)
Hospitalization time (wk)
Study
58
1.23 ± 0.68
12.21 ± 2.57
16.23 ± 2.42
Control
28
1.58 ± 0.72
14.86 ± 2.62
19.86 ± 2.47
t value
2.194
4.453
6.475
P value
0.031
< 0.001
< 0.001
Table 4 Pre- versus postoperative visual analog scale scores (mean ± SD)
Group
Cases
Preoperative
Postoperative
Study
58
8.95 ± 0.98
2.31 ± 0.62
Control
28
8.71 ± 1.08
4.22 ± 0.64
t value
1.029
13.248
P value
0.306
< 0.001
Table 5 Postoperative reduction by study group, n (%)
Groups
Cases
Excellent
Good
Poor
Excellent and good
Study
58
34 (58.62)
24 (41.38)
0 (0.00)
58 (100.00)
Control
28
10 (35.71)
14 (50.00)
4 (14.29)
24 (85.71)
χ2 value
5.767
P value
0.016
Table 6 Postoperative poor internal fixation by study group, n (%)
Group
Cases
Loose
Cracked
Total
Study
58
1 (1.72)
0 (0.00)
1 (1.72)
Control
28
3 (10.71)
2 (7.14)
5 (17.86)
χ2 value
5.291
P value
0.021
Table 7 Postoperative functional recovery by study group, n (%)
Group
Cases
Excellent
Good
Poor
Excellent and good
Study
58
30 (51.72)
26 (44.83)
2 (3.45)
56 (96.55)
Control
28
15 (53.57)
7 (25.00)
6 (21.43)
22 (78.57)
χ2 value
5.262
P value
0.022
Citation: Huang JG, Zhang ZY, Li L, Liu GB, Li X. Multi-slice spiral computed tomography in diagnosing unstable pelvic fractures in elderly and effect of less invasive stabilization. World J Clin Cases 2022; 10(14): 4470-4479