| Pelvic fractures in women of childbearing age. | |
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MedLine Citation:
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PMID: 20333494 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Pelvic fractures represent major injury. Women of childbearing age who have sustained pelvic fractures question whether they can have children and what type of delivery will be possible. QUESTIONS/PURPOSES: (1) Genitourinary and sexual dysfunction can be expected in women of child bearing age with pelvic fractures; (2) functional outcomes of women with pelvic fractures are related to fracture pattern and whether they were treated with surgery; (3) women treated nonoperatively and those treated operatively with fixation sparing the pubic symphysis can deliver children vaginally. METHODS: We retrospectively reviewed 71 women with pelvic fractures. Forty-one had stable fractures and 25 had unstable fractures; five radiographs could not be located to classify fractures. Forty women had surgery for their pelvic fractures. RESULTS: Thirty-five women (49%) had one or more genitourinary complaints; 26 women (38%) had pain with sexual intercourse. The overall SF-12 score and physical and mental health component were lower in women who had surgical fixation of their pelvic fracture. Overall SF-12 scores were similar in women who did and did not have children after their pelvic fracture. Twenty-six women had children after their pelvic fracture: 10 (38%) delivered vaginally; 16 (62%) had a cesarean section. Four (40%) of the women who delivered vaginally had surgical fixation of their fracture, including rami screws and/or sacroiliac screws. CONCLUSIONS: Our data suggest the cesarean section rate is still more than double standard norms, but vaginal delivery after pelvic fracture, even in those treated with surgical fixation sparing the pubic symphysis, is possible. LEVEL OF EVIDENCE: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
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Authors:
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Lisa K Cannada; Jennifer Barr |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 468 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-09 Completed Date: 2010-06-28 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 1781-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery, St Louis University, 3635 Vista Avenue, 7th Floor Desloge Towers, St Louis, MO, 63110, USA. Lcannada@slu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adolescent Adult Cesarean Section Female Fracture Fixation, Internal / instrumentation, methods Fractures, Bone / complications, physiopathology, radiography, therapy* Humans Injury Severity Score Maternal Exposure* Middle Aged Pelvic Bones / injuries*, radiography, surgery Postoperative Complications Pregnancy Pregnancy Complications / etiology Recovery of Function Retrospective Studies Treatment Outcome Women's Health* Young Adult |
| Comments/Corrections | |
Comment In:
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Clin Orthop Relat Res. 2010 Oct;468(10):2819; author reply 2820-1
[PMID:
20686935
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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