Versorgung von Sakruminsuffizienzfrakturen

Zusammenfassung

Sakruminsuffizienzfrakturen zeigen eine kontinuierlich ansteigende Inzidenz. Ihre Behandlung ist in der Mehrzahl der Fälle konservativ, jedoch können anhaltende Schmerzen und Mobilitätseinschränkungen eine Indikation zur Operation darstellen. Mit Hilfe der OF-Pelvis Klassifikation lassen sich die Frakturen relativ einfach nach ihrem Schweregrad einteilen. Der OF-Pelvis Score dient zur Therapieentscheidung und kann auch zur Verlaufsbeobachtung eingesetzt werden. Die chirurgische Therapie ist regelhaft minimal-invasiv und reicht von der Sakroplastie, über iliosakrale Verschraubungen bis hin zur lumbopelvinen Stabilisation.

Abstract

Sacral insufficiency fractures show a continuously increasing incidence. Although their treatment is mainly conservative, ongoing pain and impaired mobilization can justify surgical treatment. With the help of the OF-Pelvis classification the fractures can be grouped easily according to their degree of instability. The OF-Pelvis score can be used for therapeutic decision making and to monitor the course. The surgical therapy is predominantly minimal-invasive and ranges from Sacroplasty to iliosacral screw fixation to lumbo-pelvic stabilization.

Schlüsselwörter

Sakruminsuffizienzfraktur - Osteoporose - Becken - Klassifikation - Chirurgie

Keywords

sacral insufficiency fractures - osteoporosis - pelvis - classification - surgery

Publication History

Article published online:
24 January 2025

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