{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:18:44Z","timestamp":1793161124977,"version":"4.5.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Leipzig"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Geriatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the feasibility of using the recently developed OF-Pelvis-Score (OFP-Score) for treatment decisions in patients with osteoporotic fractures of the pelvis (OFP) based on standard clinical diagnostics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicenter prospective cohort study was conducted at 14 trauma centers including 375 consecutive patients who were treated for an OFP over a period of 19\u00a0months. All fractures were classified according to the OF-Pelvis-Classification (OFP-Classification). The decision for either conservative or surgical therapy was made independently of the OFP-Score recommendation. Final decisions were compared to the recommendations given by the OFP-Score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      375 patients with an average age of 81.0\u00a0years (\u00b1\u20097.6) were included, mainly female (85.6%). According to the OFP-Score, surgery was recommended in 60.5%, and conservative treatment was recommended in 21.9%. In 66 patients (17.6%) the score was undetermined with no treatment recommendation. In daily practice, 33.6% of the patients were treated conservatively and the remaining 66.4% operatively. Overall, the agreement between the OFP-Score and the performed treatment was 91%. The score was obtained in a mean of 3.1\u00a0min (\u00b1\u20092.9). All patients improved significantly with respect of VAS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and ODI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) during their hospital stay.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with osteoporotic sacral fractures improved clinically both after surgical and conservative treatment. The OFP-Score-based therapy recommendations showed a promisingly high rate of agreement with the therapy of daily practice. The scoring method provides a structured framework that supports clinical decision-making, complementing clinical judgment and other evidence-based tools in guiding treatment choices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12877-026-07682-6","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:05:57Z","timestamp":1779512757000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Prospective clinical feasibility assessment of the Osteoporotic Pelvis Fracture Score (OFP-Score)\u2014a multicenter prospective cohort study"],"prefix":"10.1186","volume":"26","author":[{"given":"Ulrich J. 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The reference numbers were as following:Main ethics committee: IRB approval reference: Ethikkommission der Medizinische Fakult\u00e4t der Universit\u00e4t Leipzig: 522\/20-ek.Additional IRB approval references:Ethikkommission der \u00c4rztekammer Sachsen-Anhalt: 88\/21.2022\u20132899-zvBO.Ethikkommission Universit\u00e4tsklinikum Jena: 5507\u20130418.Universit\u00e4tsmedizin Mainz, Ethik-Kommission: 2022\u201316341-andere Forschung.Ethikkommission Medizinische Fakult\u00e4t der CAU zu Kiel: AZ B213\/21.Ethikkommission S\u00e4chsische Landes\u00e4rztekammer: EK-BR-30\/22\u20131.Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf Ethikkommission an der Medizinischen Fakult\u00e4t: Studien-Nr.: 2022\u20132259-Klinische Forschung.Written consent to participate was obtained from all of the participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"744"}}