{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:58:49Z","timestamp":1775473129622,"version":"3.50.1"},"reference-count":26,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2020,10,9]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;To investigate the effects of surgical reduction of complex acetabular fractures on spine balance, postural stability and quality of life.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Twenty-six patients with acetabular fractures surgically treated by open reduction and internal fixation were divided into&amp;lt;br \/&amp;gt;two groups according to the amount of reduction. Group A consisted of 18 patients with satisfactory reduction (&amp;amp;le;2 mm), and group B of eight patients with incomplete reduction (&amp;amp;gt;2 mm). Functional outcome was measured with Harris Hip Score (HHS), Oswestry Disability Index (ODI), and Short Form (12) Health Survey (SF12). Radiological parameters were assessed with standing whole spine, pelvis and hip X-rays, including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and sagittal vertical axis (SVA). Follow-up intervals were 1, 3, 6 and 12 months and annually thereafter. Gait analysis and baropodometry were performed after 24 months of operation.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Mean HHS, ODI, and SF-12 was improved during the first postoperative year in both groups. After two years average scores kept improving for group A, but worsened for group B. Mean PI, PT, and SS increased in both groups during the first postoperative year, with further increase after two years only in group B. After two years, 16 (89%) patients in group A and four (50%) in group B had a balanced spine (SVA &amp;amp;lt;50 mm). Gait analysis and baropodometry showed greater imbalance and overload for group B compared to group A.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;In the long term, incomplete reduction of associated acetabular fractures may lead to poor outcome because of secondary spinopelvic imbalance, with posture and gait impairment.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1300-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"273-279","source":"Crossref","is-referenced-by-count":6,"title":["Radiographic and functional outcome of complex acetabular fractures: implications of open reduction in spinopelvic balance, gait and quality of life"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2346-8728","authenticated-orcid":false,"given":"Vitaliano F.","family":"Muzii","sequence":"first","affiliation":[{"name":"University of Siena","place":["Siena,Italy"],"department":["Department of Medicine, Surgery, and Neurosciences, Section of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Rollo","sequence":"additional","affiliation":[{"name":"Vito Fazzi Hospital","place":["Lecce,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"Rocca","sequence":"additional","affiliation":[{"name":"Trauma Centre Pietro Cosma","place":["Camposampiero, Padua,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Erasmo","sequence":"additional","affiliation":[{"name":"Santo Spirito Hospital","place":["Pescara,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Falzarano","sequence":"additional","affiliation":[{"name":"AORN San Pio","place":["Benevento,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Liuzza","sequence":"additional","affiliation":[{"name":"A. Gemelli University Hospital, Catholic University","place":["Rome,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Bisaccia","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Santa Maria della Misericordia","place":["Perugia,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Pica","sequence":"additional","affiliation":[{"name":"AORN San Pio","place":["Benevento,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"Franzese","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology Unit, Villa del Sole, Caserta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Meccariello","sequence":"additional","affiliation":[{"name":"AORN San Pio","place":["Benevento,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref1","first-page":"12","article-title":"Total hip arthroplasty vs osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes","author":"SCartaS","year":"2017","unstructured":"Carta S, Falzarano G, Rollo G, Grubor P, Fortina M, \nMeccariello L, Medici A, Riva A, Sampieri L, Ferra-\nta P. 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Orthop Traumatol Surg Res 2017; 103:335-9.","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref7","first-page":"277","article-title":"Radiographic analysis of the restoration of hip joint center following open reduction and internal fixation of acetabular fractures: a retrospective cohort study","author":"HShiH","year":"2014","unstructured":"Shi HF, Xiong J, Chen YX, Wang JF, Wang YH. \nRadiographic analysis of the restoration of hip joint \ncenter following open reduction and internal fixation \nof acetabular fractures: a retrospective cohort study. \nBMC Musculoskelet Disord 2014; 15:277.","journal-title":"BMC Musculoskelet Disord"},{"key":"ref8","first-page":"1184","article-title":"Biomechanical consequences of fracture and repair of the posterior wall of the acetabulum","author":"SOlsonS","year":"1995","unstructured":"Olson SA, Bay BK, Chapman MW, Sharkey NA. \nBiomechanical consequences of fracture and repair \nof the posterior wall of the acetabulum. 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Med Arch \n2015; 69:16-20.","journal-title":"Med Arch"},{"key":"ref22","first-page":"128","article-title":"Chronic pain and disability after pelvic and acetabular fractures-assessment with the Mainz Pain Staging System","author":"HGerbershagenH","year":"2010","unstructured":"Gerbershagen HJ, Dagtekin O, Isenberg J, Martens \nN, Ozg\u00fcr E, Krep H, Sabatowski R, Petzke F. Chro-\nnic pain and disability after pelvic and acetabular \nfractures-assessment with the Mainz Pain Staging \nSystem. J Trauma 2010; 69:128-36.","journal-title":"J Trauma"},{"key":"ref23","first-page":"51","article-title":"Flat back syndrome as post traumatic or post scoliosis treatment disorder of the spine","author":"LMeccarielloL","year":"2013","unstructured":"Meccariello L, Cioffi S, Grubor P, Franzese R, Ci-\noffi R. Di Giacinto S. Flat back syndrome as post \ntraumatic or post scoliosis treatment disorder of the \nspine. 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J Orthop Trauma 2002; 16:73-81.","journal-title":"J Orthop Trauma"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/182\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/182\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:45:07Z","timestamp":1775468707000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/433\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,10,9]]},"published-print":{"date-parts":[[2020,10,9]]}},"URL":"https:\/\/doi.org\/10.17392\/1300-21","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}