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Operative management was classified by ICD procedure codes for internal and\/or external fixation. Adjusted annual change in rate of operative care, length of stay, mortality, and home discharge were assessed using multivariable robust Poisson regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Operative care was provided to 1413 (3.2%) older adults and 5871 (20.2%) younger adults. Among older adults, operative care increased 5% per year (RR per year: 1.05, 95% CI 1.03\u20131.06,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with relative per year decreases in length of stay (RR per year: 0.98, 95% CI 0.98\u20130.98,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), home discharge (RR per year: 0.99, 95% CI 0.99\u20131.00,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) and mortality (RR per year: 0.95, 95% CI 0.95\u20130.96,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among younger adults, operative care increased 2% per year (RR per year: 1.02, 95% CI 1.01\u20131.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with relative per year decreases in length of stay (RR per year: 0.98, 95% CI 0.98\u20130.98,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and mortality (RR per year: 0.95, 95% CI 0.94\u20130.96,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Operative care of LC1 fractures in the United States increased from 2003 to 2018. A rise in operative care was associated with decreases in length of stay and mortality in older and younger adults, but fewer home discharges for older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III Therapeutic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-026-04900-0","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T03:47:53Z","timestamp":1785556073000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Operative care rates of lateral compression type 1 pelvic fractures increased from 2003 to 2018"],"prefix":"10.1007","volume":"36","author":[{"given":"Daniel","family":"Rusu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Duong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar","family":"Telang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathanael","family":"Heckmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Patterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"4900_CR1","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1007\/s00590-021-02935-z","volume":"31","author":"K Kur\u0161umovi\u0107","year":"2021","unstructured":"Kur\u0161umovi\u0107 K, Hadeed M, Bassett J et al (2021) Lateral compression type 1 (LC1) pelvic ring injuries: a spectrum of fracture types and treatment algorithms. 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