Low Back Trauma Case Study

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of severe trauma and pelvis, hip, or low back pain should treated as if a pelvic injury exists and a pelvic binder should be administered until arrival at the emergency room (ER).13 Using the above criteria, Yong et al. found that pelvic binder application has a specificity of 0.81 in ruling in pelvic injuries and therefore, should be used in the field to stabilize pelvic injuries.13
Once a pelvic injury has been confirmed, treatment varies based on if the fracture is stable versus unstable. Unstable fractures are typically defined as anterior-posture compression fractures, vertical shear fractures, and lateral compression fractures.4,14 Unstable fractures are more likely to be caused by high-energy events and are both rotationally and vertically …show more content…
It is suggested that patients who sustain a low-energy, stable pelvic fracture with no other major injuries be treated conservatively.4,10,14,15,16,17,18 Most of these fractures are painful and may require analgesia to manage …show more content…
discovered that patients with LC fractures treated non-operatively demonstrate no difference in narcotics usage during recovery, pain score, or time to mobilization when compared to those who were treated operatively.17 Patients with a lateral compression type 1 (LCI) pelvic fracture, which is a minimally displaced bilateral inferior and superior pubic rami fractures with a subsequent unilateral sacral compression fracture, also have the same functional outcomes whether they are treated operatively or nonoperatively.4,17 Therefore, non-operative treatment is preferred for stable pelvic fractures to eliminate some healthcare costs and unnecessary surgical

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