Fragility Fractures of the Pelvis.

Abstract

➢ Fragility fractures of the pelvis exhibit different morphological characteristics and occur as a result of different mechanisms than high-energy pelvic ring lesions. The degree of instability may increase over time.➢ A new comprehensive classification system distinguishes between different degrees of instability and different locations of the fractures in the posterior pelvic ring.➢ The majority of fragility fractures of the pelvis have nondisplaced components in the posterior part of the pelvic ring. These types of fragility fractures are treated nonoperatively with pain therapy and mobilization as tolerated. A multidisciplinary approach is needed to ameliorate the general condition of the patient and to treat underlying metabolic abnormalities.➢ Because one of the primary goals of treatment is functional recovery, restoring stability is more important than restoring perfect anatomy.➢ Less-invasive stabilization techniques are preferable to open reduction and internal fixation for the treatment of posterior and anterior pelvic ring instabilities.