{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T12:29:14Z","timestamp":1792844954385,"version":"4.5.0"},"reference-count":40,"publisher":"Deutscher Arzte-Verlag GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"DOI":"10.3238\/arztebl.2018.0070","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T07:30:02Z","timestamp":1516865402000},"source":"Crossref","is-referenced-by-count":55,"title":["Osteoporotic Pelvic Fractures"],"prefix":"10.3238","author":[{"given":"Ludwig","family":"Oberkircher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Ruchholtz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pol Maria","family":"Rommens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Hofmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"B\u00fccking","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Kr\u00fcger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11437","published-online":{"date-parts":[[2018,2,2]]},"reference":[{"key":"10.3238\/arztebl.2018.0070_ref1","unstructured":"WHO: Guidelines for preclinical evaluation and clinical trials in osteoporosis; 1998. http:\/\/apps.who.int\/iris\/bitstream\/10665\/42088\/1\/9241545224_eng.pdf (last accessed on 3 January 2018)."},{"key":"10.3238\/arztebl.2018.0070_ref2","doi-asserted-by":"crossref","unstructured":"Rommens PM, Wagner D, Hofmann A: Fragility fractures of the pelvis. J Bone Jt Surg Rev 2017; 5: 1\u201313","DOI":"10.2106\/JBJS.RVW.16.00057"},{"key":"10.3238\/arztebl.2018.0070_ref3","doi-asserted-by":"crossref","unstructured":"Krappinger D, Kammerlander C, Hak DJ, Blauth M: Low-energy osteoporotic pelvic fractures. Arch Orthop Trauma Surg 2010; 130: 1167\u201375","DOI":"10.1007\/s00402-010-1108-1"},{"key":"10.3238\/arztebl.2018.0070_ref4","doi-asserted-by":"crossref","unstructured":"McCabe MP, Smyth MP, Richardson DR: Current concept review: Vitamin D and stress fractures. Foot Ankle Int 2012; 33: 526\u201333","DOI":"10.3113\/FAI.2012.0526"},{"key":"10.3238\/arztebl.2018.0070_ref5","doi-asserted-by":"crossref","unstructured":"Uezono H, Tsujino K, Moriki K, et al.: Pelvic insufficiency fracture after definitive radiotherapy for uterine cervical cancer: retrospective analysis of risk factors. J Radiat Res 2013; 54: 1102\u20139","DOI":"10.1093\/jrr\/rrt055"},{"key":"10.3238\/arztebl.2018.0070_ref6","doi-asserted-by":"crossref","unstructured":"Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A: Incidence and economic burden of osteoporosis-related fractures in the United States, 2005\u20132025. J Bone Miner Res 2007; 22: 465\u201375","DOI":"10.1359\/jbmr.061113"},{"key":"10.3238\/arztebl.2018.0070_ref7","doi-asserted-by":"crossref","unstructured":"Andrich S, Haastert B, Neuhaus E, et al.: Epidemiology of pelvic fractures in Germany: considerably high incidence rates among older people. PLoS One 2015; 10: e0139078","DOI":"10.1371\/journal.pone.0139078"},{"key":"10.3238\/arztebl.2018.0070_ref8","doi-asserted-by":"crossref","unstructured":"Sullivan MP, Baldwin KD, Donegan DJ, Mehta S, Ahn J: Geriatric fractures about the hip: divergent patterns in the proximal femur, acetabulum, and pelvis. Orthopedics 2014; 37: 151\u20137","DOI":"10.3928\/01477447-20140225-50"},{"key":"10.3238\/arztebl.2018.0070_ref9","doi-asserted-by":"crossref","unstructured":"Rollmann MF, Herath SC, Kirchhoff F, et al.: Pelvic ring fractures in the elderly now and then\u2013a pelvic registry study. Arch Gerontol Geriatr 2017; 71: 83\u20138","DOI":"10.1016\/j.archger.2017.03.007"},{"key":"10.3238\/arztebl.2018.0070_ref10","doi-asserted-by":"crossref","unstructured":"Fuchs T, Rottbeck U, Hofbauer V, Raschke M, Stange R: [Pelvic ring fractures in the elderly. Underestimated osteoporotic fracture]. Unfallchirurg 2011; 114: 663\u201370","DOI":"10.1007\/s00113-011-2020-z"},{"key":"10.3238\/arztebl.2018.0070_ref11","doi-asserted-by":"crossref","unstructured":"Breuil V, Roux CH, Testa J, et al.: Outcome of osteoporotic pelvic fractures: an underestimated severity. Survey of 60 cases. Jt Bone Spine 2008; 75: 585\u20138","DOI":"10.1016\/j.jbspin.2008.01.024"},{"key":"10.3238\/arztebl.2018.0070_ref12","doi-asserted-by":"crossref","unstructured":"Melton LJ, Chrischilles EA, Cooper C, Lane AW, Riggs BL: How many women have osteoporosis? J Bone Miner Res 2005; 20: 886\u201392","DOI":"10.1359\/jbmr.2005.20.5.886"},{"key":"10.3238\/arztebl.2018.0070_ref13","doi-asserted-by":"crossref","unstructured":"Maier GS, Kolbow K, Lazovic D, et al.: Risk factors for pelvic insufficiency fractures and outcome after conservative therapy. Arch Gerontol Geriatr 2016; 67: 80\u20135","DOI":"10.1016\/j.archger.2016.06.020"},{"key":"10.3238\/arztebl.2018.0070_ref14","doi-asserted-by":"crossref","unstructured":"Soles GLS, Ferguson TA: Fragility fractures of the pelvis. Curr Rev Musculoskelet Med 2012; 5: 222\u20138","DOI":"10.1007\/s12178-012-9128-9"},{"key":"10.3238\/arztebl.2018.0070_ref15","doi-asserted-by":"crossref","unstructured":"Josten C, H\u00f6ch A: [Fractures of the sacrum: operative\/conservative Pro: Why insufficiency fractures of the sacrum should be treated operatively]. Die Wirbels\u00e4ule 2017; 1: 31\u201340","DOI":"10.1055\/s-0043-102810"},{"key":"10.3238\/arztebl.2018.0070_ref16","doi-asserted-by":"crossref","unstructured":"Rommens PM, Hofmann A: Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment. Injury 2013; 44: 1733\u201344","DOI":"10.1016\/j.injury.2013.06.023"},{"key":"10.3238\/arztebl.2018.0070_ref17","doi-asserted-by":"crossref","unstructured":"Wagner D, Kamer L, Sawaguchi T, Richards RG, Noser H, Rommens PM: Sacral bone mass distribution assessed by averaged three-dimensional CT Models: implications for pathogenesis and treatment of fragility fractures of the sacrum. J Bone Joint Surg Am 2016; 98: 584\u201390","DOI":"10.2106\/JBJS.15.00726"},{"key":"10.3238\/arztebl.2018.0070_ref18","doi-asserted-by":"crossref","unstructured":"Linstrom NJ, Heiserman JE, Kortman KE, et al.: Anatomical and biomechanical analyses of the unique and consistent locations of sacral insufficiency fractures. Spine 2009; 34: 309\u201315","DOI":"10.1097\/BRS.0b013e318191ea01"},{"key":"10.3238\/arztebl.2018.0070_ref19","doi-asserted-by":"crossref","unstructured":"Wagner D, Ossendorf C, Gruszka D, Hofmann A, Rommens PM: Fragility fractures of the sacrum: how to identify and when to treat surgically? Eur J Trauma Emerg Surg 2015; 41: 349\u201362","DOI":"10.1007\/s00068-015-0530-z"},{"key":"10.3238\/arztebl.2018.0070_ref20","doi-asserted-by":"crossref","unstructured":"B\u00f6hme J, H\u00f6ch A, Boldt A, Josten C: [Influence of routine CT examination on fracture classification and therapy for pelvic ring fractures in patients aged over 65 years old]. Z Orthop Unfall 2012; 150: 477\u201383","DOI":"10.1055\/s-0032-1315270"},{"key":"10.3238\/arztebl.2018.0070_ref21","doi-asserted-by":"crossref","unstructured":"Tosounidis G, Wirbel R, Culemann U, Pohlemann T: [Misinterpretation of anterior pelvic ring fractures in the elderly]. Unfallchirurg 2006; 109: 678\u201380","DOI":"10.1007\/s00113-006-1098-1"},{"key":"10.3238\/arztebl.2018.0070_ref22","doi-asserted-by":"crossref","unstructured":"Cosker TDA, Ghandour A, Gupta SK, Tayton KJJ: Pelvic ramus fractures in the elderly: 50 patients studied with MRI. Acta Orthop 2005; 76: 513\u20136","DOI":"10.1080\/17453670510044634"},{"key":"10.3238\/arztebl.2018.0070_ref23","doi-asserted-by":"crossref","unstructured":"Hackenbroch C, Riesner HJ, Lang P, et al.: Dual energy CT\u2014a novel technique for diagnostic testing of fragility fractures of the pelvis. Z Orthop Unfall 2017; 155: 27\u201334","DOI":"10.1055\/s-0042-110208"},{"key":"10.3238\/arztebl.2018.0070_ref24","doi-asserted-by":"crossref","unstructured":"Rommens PM, Wagner D, Hofmann A: [Osteoporotic fractures of the pelvic ring]. Z Orthop Unfall 2012; 150: e107\u201318","DOI":"10.1055\/s-0032-1314948"},{"key":"10.3238\/arztebl.2018.0070_ref25","doi-asserted-by":"crossref","unstructured":"Dietz SO, Hofmann A, Rommens PM: Haemorrhage in fragility fractures of the pelvis. Eur J Trauma Emerg Surg 2015; 41: 363\u20137","DOI":"10.1007\/s00068-014-0452-1"},{"key":"10.3238\/arztebl.2018.0070_ref26","doi-asserted-by":"crossref","unstructured":"Rommens PM, Hofmann A, Hessmann MH: Management of acute hemorrhage in pelvic trauma: an overview. Eur J Trauma Emerg Surg 2010; 36: 91\u20139","DOI":"10.1007\/s00068-010-1061-x"},{"key":"10.3238\/arztebl.2018.0070_ref27","doi-asserted-by":"crossref","unstructured":"Peichl P, La H, Maier R, Holzer G: Parathyroid hormone 1\u201384 accelerates fracture-healing in pubic bones of elderly osteoporotic women. J Bone Joint Surg Am 2011; 93: 1583\u20137","DOI":"10.2106\/JBJS.J.01379"},{"key":"10.3238\/arztebl.2018.0070_ref28","doi-asserted-by":"crossref","unstructured":"Buffum MD, Hutt E, Chang VT, Michael H, Snow AL: Cognitive impairment and pain management: review of issues and challenges. J Rehabil Res Dev 2007; 44: 315\u201330","DOI":"10.1682\/JRRD.2006.06.0064"},{"key":"10.3238\/arztebl.2018.0070_ref29","doi-asserted-by":"crossref","unstructured":"Roche JJ, Wenn RT, Sahota O, Moran CG: Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ 2005; 331: 1374","DOI":"10.1136\/bmj.38643.663843.55"},{"key":"10.3238\/arztebl.2018.0070_ref30","doi-asserted-by":"crossref","unstructured":"Feldt KS, Ryden MB, Miles S: Treatment of pain in cognitively impaired compared with cognitively intact older patients with hip-fracture. J Am Geriatr Soc 1998; 46: 1079\u201385","DOI":"10.1111\/j.1532-5415.1998.tb06644.x"},{"key":"10.3238\/arztebl.2018.0070_ref31","doi-asserted-by":"crossref","unstructured":"Harden V, Hurley AV, Volicer L: Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc 2003; 4: 9\u201315","DOI":"10.1097\/01.JAM.0000043422.31640.F7"},{"key":"10.3238\/arztebl.2018.0070_ref32","doi-asserted-by":"crossref","unstructured":"Schildhauer TA, Ledoux WR, Chapman JR, Henley MB, Tencer AF, Routt MLC: Triangular osteosynthesis and iliosacral screw fixation for unstable sacral fractures: a cadaveric and biomechanical evaluation under cyclic loads. J Orthop Trauma 2003; 17: 22\u201331","DOI":"10.1097\/00005131-200301000-00004"},{"key":"10.3238\/arztebl.2018.0070_ref33","doi-asserted-by":"crossref","unstructured":"Andrich S, Haastert B, Neuhaus E, et al.: Excess mortality after pelvic fractures among older people. J Bone Miner Res 2017; 32: 1789\u20131801","DOI":"10.1002\/jbmr.3116"},{"key":"10.3238\/arztebl.2018.0070_ref34","doi-asserted-by":"crossref","unstructured":"Hill RM, Robinson CM, Keating JF: Fractures of the pubic rami. Epidemiology and five-year survival. J Bone Jt Surg Br 2001; 83: 1141\u20134","DOI":"10.1302\/0301-620X.83B8.0831141"},{"key":"10.3238\/arztebl.2018.0070_ref35","doi-asserted-by":"crossref","unstructured":"Taillandier J, Langue F, Alemanni M, Taillandier-Heriche E: Mortality and functional outcomes of pelvic insufficiency fractures in older patients. Jt Bone Spine 2003; 70: 287\u20139","DOI":"10.1016\/S1297-319X(03)00015-0"},{"key":"10.3238\/arztebl.2018.0070_ref36","doi-asserted-by":"crossref","unstructured":"Mehling I, Hessmann MH, Rommens PM: Stabilization of fatigue fractures of the dorsal pelvis with a trans-sacral bar. Operative technique and outcome. Injury 2012; 43: 446\u201351","DOI":"10.1016\/j.injury.2011.08.005"},{"key":"10.3238\/arztebl.2018.0070_ref37","doi-asserted-by":"crossref","unstructured":"Osterhoff G, Ossendorf C, Wanner GA, Simmen HP, Werner CML: Percutaneous iliosacral screw fixation in S1 and S2 for posterior pelvic ring injuries: technique and perioperative complications. Arch Orthop Trauma Surg 2011; 131: 809\u201313","DOI":"10.1007\/s00402-010-1230-0"},{"key":"10.3238\/arztebl.2018.0070_ref38","doi-asserted-by":"crossref","unstructured":"Hopf JC, Krieglstein CF, M\u00fcller LP, Koslowsky TC: Percutaneous iliosacral screw fixation after osteoporotic posterior ring fractures of the pelvis reduces pain significantly in elderly patients. Injury 2015; 46: 1631\u20136","DOI":"10.1016\/j.injury.2015.04.036"},{"key":"10.3238\/arztebl.2018.0070_ref39","doi-asserted-by":"crossref","unstructured":"W\u00e4hnert D, Raschke MJ, Fuchs T: Cement augmentation of the navigated iliosacral screw in the treatment of insufficiency fractures of the sacrum. A new method using modified implants. Int Orthop 2013; 37: 1147\u201350","DOI":"10.1007\/s00264-013-1875-8"},{"key":"10.3238\/arztebl.2018.0070_ref40","doi-asserted-by":"crossref","unstructured":"Vaidya R, Kubiak EN, Bergin PF, et al.: Complications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study trauma. Clin Orthop Relat Res 2012; 470: 2124\u201331","DOI":"10.1007\/s11999-011-2233-z"}],"container-title":["Deutsches \u00c4rzteblatt international"],"original-title":[],"link":[{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.2018.0070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T13:16:51Z","timestamp":1638796611000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.2018.0070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,2]]},"references-count":40,"URL":"https:\/\/doi.org\/10.3238\/arztebl.2018.0070","relation":{},"ISSN":["1866-0452"],"issn-type":[{"value":"1866-0452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,2]]}}}