Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures
Purpose The diagnosis of pelvic fractures pattern has become to be essential in the decision making of treatment modality and reducing morbidity and mortality in multiple trauma patients. Sacroiliac joint (SIJ) disruption can cause life-threatening massive arterial bleeding. This study aimed to dete...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Traumatology
2018-04-01
|
| Series: | Journal of Trauma and Injury |
| Subjects: | |
| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-31-006.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841558939761639424 |
|---|---|
| author | Yeon-Uk Ju Jun-Min Cho Nam-Ryeol Kim Kyung-Bum Lee Jin-Kak Kim Jong-Keon Oh |
| author_facet | Yeon-Uk Ju Jun-Min Cho Nam-Ryeol Kim Kyung-Bum Lee Jin-Kak Kim Jong-Keon Oh |
| author_sort | Yeon-Uk Ju |
| collection | DOAJ |
| description | Purpose The diagnosis of pelvic fractures pattern has become to be essential in the decision making of treatment modality and reducing morbidity and mortality in multiple trauma patients. Sacroiliac joint (SIJ) disruption can cause life-threatening massive arterial bleeding. This study aimed to determine a method of predicting the prognosis and treatment direction with pelvis X-ray alone in the emergency room. We investigated whether SIJ disruption can be used alone as a poor prognostic factor. Methods We analyzed the medical records and radiologic examination results of 167 patients with pelvic fractures from January 1, 2015 to December 31, 2016 retrospectively. Patients with pathologic fractures, thoraco-abdominal bleeding, and acetabulum fractures and pediatric patients (n=63) were excluded. Factors related to the clinical manifestations and treatments, such as transfusion and surgery, were statistically compared. Results The cross-sectional analysis showed that there was no correlation between SIJ injury and sex; there were statistically significant relationships between occurrences of shock, conjoined fractures, transfusion, and surgeries. The hospitalization period and partial thromboplastin time and prothrombin time values increased. The logistic regression analysis showed that when an SIJ injury occurred, blood transfusion and hypotension possibilities increased. Conclusions When pelvic fractures occur near the SIJ, blood transfusion and shock possibilities increase. Physicians must be aware of the high severity and poor prognosis of such fractures when these are diagnosed in the emergency room. And furthermore, the physician has to predict and prepare the intensive care and multidisciplinary approaches. |
| format | Article |
| id | doaj-art-b70e7a2f5b93443686490b7d411d24a0 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2018-04-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-b70e7a2f5b93443686490b7d411d24a02025-01-06T01:07:41ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-04-0131161110.20408/jti.2018.31.1.6940Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic FracturesYeon-Uk Ju0Jun-Min Cho1Nam-Ryeol Kim2Kyung-Bum Lee3Jin-Kak Kim4Jong-Keon Oh5 Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, KoreaPurpose The diagnosis of pelvic fractures pattern has become to be essential in the decision making of treatment modality and reducing morbidity and mortality in multiple trauma patients. Sacroiliac joint (SIJ) disruption can cause life-threatening massive arterial bleeding. This study aimed to determine a method of predicting the prognosis and treatment direction with pelvis X-ray alone in the emergency room. We investigated whether SIJ disruption can be used alone as a poor prognostic factor. Methods We analyzed the medical records and radiologic examination results of 167 patients with pelvic fractures from January 1, 2015 to December 31, 2016 retrospectively. Patients with pathologic fractures, thoraco-abdominal bleeding, and acetabulum fractures and pediatric patients (n=63) were excluded. Factors related to the clinical manifestations and treatments, such as transfusion and surgery, were statistically compared. Results The cross-sectional analysis showed that there was no correlation between SIJ injury and sex; there were statistically significant relationships between occurrences of shock, conjoined fractures, transfusion, and surgeries. The hospitalization period and partial thromboplastin time and prothrombin time values increased. The logistic regression analysis showed that when an SIJ injury occurred, blood transfusion and hypotension possibilities increased. Conclusions When pelvic fractures occur near the SIJ, blood transfusion and shock possibilities increase. Physicians must be aware of the high severity and poor prognosis of such fractures when these are diagnosed in the emergency room. And furthermore, the physician has to predict and prepare the intensive care and multidisciplinary approaches.http://www.jtraumainj.org/upload/pdf/jti-31-006.pdfiliac arterymultiple traumashockpelvic bones |
| spellingShingle | Yeon-Uk Ju Jun-Min Cho Nam-Ryeol Kim Kyung-Bum Lee Jin-Kak Kim Jong-Keon Oh Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures Journal of Trauma and Injury iliac artery multiple trauma shock pelvic bones |
| title | Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures |
| title_full | Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures |
| title_fullStr | Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures |
| title_full_unstemmed | Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures |
| title_short | Analysis of the Importance of Sacroiliac Joint Fractures as a Prognostic Factor of the Patients with Pelvic Fractures |
| title_sort | analysis of the importance of sacroiliac joint fractures as a prognostic factor of the patients with pelvic fractures |
| topic | iliac artery multiple trauma shock pelvic bones |
| url | http://www.jtraumainj.org/upload/pdf/jti-31-006.pdf |
| work_keys_str_mv | AT yeonukju analysisoftheimportanceofsacroiliacjointfracturesasaprognosticfactorofthepatientswithpelvicfractures AT junmincho analysisoftheimportanceofsacroiliacjointfracturesasaprognosticfactorofthepatientswithpelvicfractures AT namryeolkim analysisoftheimportanceofsacroiliacjointfracturesasaprognosticfactorofthepatientswithpelvicfractures AT kyungbumlee analysisoftheimportanceofsacroiliacjointfracturesasaprognosticfactorofthepatientswithpelvicfractures AT jinkakkim analysisoftheimportanceofsacroiliacjointfracturesasaprognosticfactorofthepatientswithpelvicfractures AT jongkeonoh analysisoftheimportanceofsacroiliacjointfracturesasaprognosticfactorofthepatientswithpelvicfractures |