{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:14:12Z","timestamp":1784560452034,"version":"3.55.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T00:00:00Z","timestamp":1721952000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T00:00:00Z","timestamp":1721952000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Wyss Foundation USA"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective Cohort Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the outcomes and complications of transiliac-transsacral screw fixation (TIS) and lumbopelvic fixation (LPS), the 2 most common fixation methods for nondisplaced and minimally displaced H-\/U- type sacral fragility fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records of patients treated with TIS or LPS for nondisplaced and minimally displaced H-\/U-type sacral fragility fractures at 2 level A trauma centers between 2012 and 2022 were analyzed. Postoperative low back pain and mobility levels were assessed as primary outcomes before discharge and at 6\u00a0weeks and 6\u00a0months postoperatively. Surgery time, blood loss, and surgical complication rates were assessed as secondary outcomes. Statistical analyses consisted of Fisher\u2019s exact tests for frequency distributions and Mann-Whitney-U tests and t-tests for group comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      52 patients undergoing TIS (mean age: 78 \u00b1 9\u00a0years) and 36 patients undergoing LPS (74 \u00b1 10\u00a0years) with no discrepancy in demographic parameters were identified. There were no differences in low back pain levels between the 2 groups before surgery, before discharge, at 6\u00a0weeks postoperatively, and at 6\u00a0months postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). There were no differences in mobility levels before surgery, before discharge, at 6\u00a0weeks postoperatively, and at 6\u00a0months postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). Duration of surgery was shorter after TIS (36 \u00b1 13\u00a0min) compared to LPS (113 \u00b1 31\u00a0min) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). Intraoperative blood loss was lower for TIS (median &lt;20\u00a0mL) compared to LPS (median 125\u00a0mL) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). Postoperative radiculopathy was less frequent after TIS (n = 1) compared to LPS (n = 3) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). Median length of stay was shorter after TIS (11\u00a0days) compared to LPS (14\u00a0days) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Rates of reoperations directly related to the index surgery were lower after TIS (n = 2) compared to LPS (n = 10) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Implant failures were observed only after LPS (n = 1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with nondisplaced and minimally displaced H-\/U- type sacral fragility fractures may preferably be treated using TIS, as it is equivalent to LPS in terms of low back pain reduction and restoration of mobility, but allows for shorter operative time, less blood loss and lower reoperation rates. Prospective randomized studies should be conducted to substantiate our findings and develop distinct treatment recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682241268141","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T13:28:13Z","timestamp":1722000493000},"page":"1939-1949","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Transiliac-Transsacral Screw Fixation is Superior to Lumbopelvic Stabilization in the Treatment of Minimally Displaced Sacral H-\/U-Type Fragility Fractures"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9366-6375","authenticated-orcid":false,"given":"Jan","family":"Gewiess","sequence":"first","affiliation":[{"name":"Inselspital, Bern University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ysaline Emilie","family":"Roth","sequence":"additional","affiliation":[{"name":"Inselspital, Bern University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Heini","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die Sonnenhof"},{"name":"Campus Stiftung Lindenhof Bern (Campus SLB)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5320-5638","authenticated-orcid":false,"given":"Lorin M.","family":"Benneker","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die Sonnenhof"},{"name":"Campus Stiftung Lindenhof Bern (Campus SLB)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2751-3458","authenticated-orcid":false,"given":"Christoph Emanuel","family":"Albers","sequence":"additional","affiliation":[{"name":"Inselspital, Bern University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.06.023"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.19.01153"},{"key":"e_1_3_4_4_2","volume-title":"Expertise Orthop\u00e4die und Unfallchirurgie Wirbels\u00e4ule","author":"Osterhoff G","year":"2019","unstructured":"Osterhoff G. 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