{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:20:40Z","timestamp":1767183640877,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,7,9]],"date-time":"2022-07-09T00:00:00Z","timestamp":1657324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Plate fixation of anterior pelvic ring fractures is often a vital component when surgically treating unstable pelvis fractures. Certain plate and screw configurations can have premature implant loosening, potentially in part due to insufficient pullout strength in lower density bone. This study sought to define densities about the anterior pelvic ring using a novel computer\u2010based technique. Thirty\u2010three patients who received a computed tomography (CT) of the abdomen\/pelvis for reasons other than pelvis fracture in a 1\u2010month time period were included. Three statistically distinct density regions of the anterior pelvis were identified based on the three\u2010dimensional (3D) density map. The densest regions included both the anterior and posterior aspects of the superior pubic ramus, along with the region of bone along the inferior cotyloid fossa. The intermediate density region included the caudal and medial pubic body. The least dense region included the anterior aspect of the inferior pubic ramus (IPR), the posterior pubic body, and the posterior\/inferior IPR. This study presents specific quantification of anterior pelvis bone density based on a novel technique using opportunistic CT scans. Clinical Significance: Anterior surgical fixation of unstable pelvic ring injuries may benefit from targeting areas of higher density as described in this novel technique.<\/jats:p>","DOI":"10.1002\/jor.25409","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T10:55:18Z","timestamp":1656586518000},"page":"803-807","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Quantification and visualization of anterior pelvis bone density to optimize screw fixation: A novel technique"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1729-5370","authenticated-orcid":false,"given":"Jerad D.","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Emory University Atlanta Georgia United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0104-4027","authenticated-orcid":false,"given":"Scott","family":"Telfer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth F.","family":"Linnau","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina L.","family":"Brunnquell","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Zamora","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2427-4404","authenticated-orcid":false,"given":"Daniel S.","family":"Hippe","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Agel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor P.","family":"Kleweno","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine University of Washington Seattle Washington United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19950301-09"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2340-5"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2427-z"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.05.019"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318162ab6e"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(93)90314-V"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001231"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00749"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.24792"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2015.11.001"},{"volume-title":"3D Slicer: A Platform for Subject\u2010Specific Image Analysis, Visualization, and Clinical Support","year":"2014","author":"Kikinis Ron","key":"e_1_2_7_12_1"},{"key":"e_1_2_7_13_1","unstructured":"R Development Core Team. 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