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- W3021494413 abstract "Objectives: To determine if pelvic ring displacement on the lateral stress radiograph (LSR) correlated with displacement on examination under anesthesia (EUA). Design: Retrospective cohort study. Setting: Urban Level I trauma center. Patients/Participants: Twenty consecutive patients with unilateral minimally displaced LC1 injuries with complete sacral fractures. Intervention: An anteroposterior pelvis radiograph taken in the lateral decubitus position (LSR) was performed on awake patients before EUA in the operating room. Main Outcome Measurements: Correlation between ≥1 cm of pelvic ring displacement on the LSR and EUA. Results: The LSR demonstrated ≥1 cm of displacement in 11 of the 20 patients (55%). All of these patients had ≥1 cm of displacement on EUA and underwent surgical fixation. The remaining 9 patients with <1 cm of displacement on the LSR also had <1 cm of displacement on EUA and were managed nonoperatively. Conclusions: The LSR reliably identified occult instability in LC1 pelvic ring injuries and demonstrated 100% correlation with EUA. In contrast to EUA, the LSR does not require sedation and normalizes the amount of force applied to determine instability. Level of Evidence: Diagnostic Level II. See Instructions for Authors for a complete description of levels of evidence." @default.
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- W3021494413 date "2020-11-01" @default.
- W3021494413 modified "2023-10-17" @default.
- W3021494413 title "The Lateral Stress Radiograph Identifies Occult Instability of Lateral Compression Pelvic Ring Injuries Without Sedation" @default.
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- W3021494413 doi "https://doi.org/10.1097/bot.0000000000001805" @default.
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