@article {5286,
	title = {Assessment of Lateral Compression type 1 pelvic ring injuries by intraoperative manipulation: which fracture pattern is unstable?},
	journal = {Int Orthop},
	volume = {36},
	year = {2012},
	month = {2012 Dec},
	pages = {2553-8},
	abstract = {PURPOSE: We performed a prospective study to document, by intra-operative manipulation under anaesthesia (MUA) of the pelvic ring, the stability of lateral compression type 1 injuries that were managed in a Level-I Trauma Centre. The documentation of the short-term outcome of the management of these injuries was our secondary aim.

METHODS: A total of 63 patients were included in the study. Thirty-five patients (group A) were treated surgically whereas 28 (group B) were managed nonoperatively. Intraoperative rotational instability, evident by more than two~centimetres of translation during the manipulation manoeuvre, was combined with a complete sacral fracture in all cases.

RESULTS: A statistically significant difference was present between the length of hospital stay, the time to independent pain-free mobilisation, post-manipulation pain levels and opioid requirements between the two groups, with group A demonstrating significantly decreased values in all these four variables (p < 0.05). There was also a significant difference between the pre- and 72-hour post-manipulation visual analogue scale and analgesic requirements of the group A patients, whereas the patients in group B did not demonstrate such a difference.

CONCLUSION: LC-1 injuries with a complete posterior sacral injury are inheritably rotationally unstable and patients presenting with these fracture patterns definitely gain benefit from surgical stabilisation.},
	keywords = {Adolescent, Adult, Aged, Bone Screws, Female, Fracture Fixation, Internal, Fractures, Bone, Humans, Length of Stay, Male, Middle Aged, Monitoring, Intraoperative, Pain Measurement, Pelvic Bones, Prospective Studies, Retrospective Studies, Sacrum, Tomography, X-Ray Computed, Treatment Outcome, Young Adult},
	issn = {1432-5195},
	doi = {10.1007/s00264-012-1685-4},
	author = {Tosounidis, Theodoros and Kanakaris, Nikolaos and Nikolaou, Vasilios and Tan, Boon and Giannoudis, Peter V}
}
