Z Orthop Unfall 2025; 163(03): 217-224
DOI: 10.1055/a-2385-1747
Original Article

Development and Evaluation of the OF Pelvis Score for Osteoporotic Pelvic Ring Fractures – A Retrospective Assessment of Therapy Recommendations for 107 Patients

Article in several languages: English | deutsch
1   Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland (Ringgold ID: RIN39066)
2   Klinik für Unfallchirurgie, Orthopädie, Wiederherstellungschirurgie und Handchirurgie, München Klinik Harlaching, München
,
Klaus J. Schnake
3   Zentrum für Wirbelsäulen- und Skoliosetherapie, Malteser Waldkrankenhaus St. Marien gGmbH, Erlangen, Deutschland (Ringgold ID: RIN232691)
,
4   Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinik Köln, Köln, Deutschland
,
Thomas Mendel
5   Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Halle, Deutschland (Ringgold ID: RIN39781)
,
1   Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland (Ringgold ID: RIN39066)
,
6   Department for Trauma Surgery, Hirslanden Clinic St. Anna, Luzern, Schweiz
,
Martin Bäumlein
7   Center for Orthopaedics and Trauma Surgery, Fachbereich Medizin, Philipps-Universität Marburg, Marburg, Deutschland (Ringgold ID: RIN98594)
,
Lars Behr
8   Interdisciplinary Center for Spine and Neurotrauma, Sana Klinik Borna, Borna, Deutschland (Ringgold ID: RIN62477)
,
Alexander Franck
9   Department of Orthopaedics and Trauma Surgery, Klinikum Coburg GmbH, Coburg, Deutschland (Ringgold ID: RIN15020)
,
Erol Gercek
10   Department of Orthopaedics and Trauma Surgery, Johannes Gutenberg University Hospital Mainz, Mainz, Deutschland (Ringgold ID: RIN39068)
,
Sebastian Grüninger
11   Universitätsklinik für Orthopädie und Unfallchirurgie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg, Nürnberg, Deutschland (Ringgold ID: RIN9211)
,
Philipp Hartung
12   Wirbelsäulenzentrum, St. Josefs Hospital Wiesbaden, Wiesbaden, Deutschland
,
Stefan Hauck
13   Unfallchirurgie, BG Unfallklinik Murnau, Murnau, Deutschland
,
Cornelius Jacobs
14   Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Bonn, Deutschland
,
Sebastian Katscher
15   Orthopädie und Unfallchirurgie, Sana Kliniken Leipziger Land GmbH, Borna, Deutschland (Ringgold ID: RIN62478)
,
Friederike Klauke
5   Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Halle, Deutschland (Ringgold ID: RIN39781)
,
Katja Liepold
16   Department of Spine Surgery, Thüringen Kliniken Georgius Agricola GmbH, Saalfeld, Deutschland (Ringgold ID: RIN502211)
,
Christian W. Müller
17   Department of Orthopaedics and Trauma, Asklepios Klinik Wandsbek, Hamburg, Deutschland (Ringgold ID: RIN39482)
,
Michael Müller
18   Department of Orthopaedics and Trauma Surgery, University Medical Center Schleswig-Holstein Campus Kiel, Kiel, Deutschland (Ringgold ID: RIN15056)
,
Stefan Piltz
9   Department of Orthopaedics and Trauma Surgery, Klinikum Coburg GmbH, Coburg, Deutschland (Ringgold ID: RIN15020)
,
Robert Pätzold
13   Unfallchirurgie, BG Unfallklinik Murnau, Murnau, Deutschland
,
Marion Riehle
19   Orthopädisch-Unfallchirurgisches Zentrum, Alb Fils Kliniken GmbH, Göppingen, Deutschland (Ringgold ID: RIN534818)
,
Gregor Schmeiser
20   Abteilung für Spinale Chirurgie, Schön-Klinik Hamburg Eilbek, Hamburg, Deutschland
,
Akhil P. Verheyden
21   Klinik für Unfall-, Orthopädische und Wirbelsäulenchirurgie, Ortenau Klinikum Lahr-Ettenheim, Lahr, Deutschland (Ringgold ID: RIN39584)
,
Volker Zimmermann
22   Abt. Unfallchirurgie und Orthopädische Chirurgie, Klinikum Traunstein, Traunstein, Deutschland (Ringgold ID: RIN15013)
,
Bernhard Ullrich
5   Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Halle, Deutschland (Ringgold ID: RIN39781)
› Author Affiliations
Preview

Abstract

Purpose

The aim of this study was to develop a simple and reliable score which supports decision making between non-operative and operative treatment in patients with osteoporotic pelvic fractures.

Methods

Between 2018 to 2020, the OF Pelvis Score was developed during a total of 5 meetings of the Working Group on Osteoporotic Fractures of the Spine Section of the German Society of Orthopaedics and Trauma. The OF Pelvis Score as a decision aid between non-surgical and surgical treatment was developed by expert consensus after analysis of numerous geriatric sacral and pelvic ring fractures from several hospitals. Subsequently, retrospective evaluation of the score was performed on consecutive patients from three hospitals.

Results

The following parameters were considered relevant to decision making between non-surgical and surgical treatment and were incorporated into the score: fracture morphology using the OF Pelvis Classification, pain status, level of mobilisation, fracture-related neurological deficits, health status, and the modifiers already integrated into the OF Pelvis classification. If the score is < 8, non-surgical therapy is recommended; if the score is > 8, surgical therapy is recommended; if the score is 8, there is a relative indication for surgery. The OF Pelvis Score was then evaluated retrospectively in a total of 107 patients, according to records. The OF Pelvis Score was 8 points in 4 patients (3.7%), all of whom received surgical treatment. Of the remaining 103 patients, 93 received score-compliant therapy (90.3%). Among these, 4 of the patients who did not receive score-compliant care refused the recommended surgery, so the actual therapy recommendation was score-compliant in 94.2%.

Conclusion

The OF Pelvis Score can be used to derive a therapy recommendation in many patients in clinical practice. Because of the possible change of clinical parameters during the course of the disease, the score has a dynamic character. In the retrospective evaluation, the recommendations from the OF Pelvis Score were in close accordance with the therapy actually performed.



Publication History

Received: 30 June 2023

Accepted after revision: 07 August 2024

Article published online:
02 October 2024

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