The Management of Pelvic and Vertebral Fragility Fractures: An Unmet Care Need

➢ Vertebral compression fractures and pelvic insufficiency fractures are common and result in increased mortality and morbidity. ➢ These fractures can be difficult to diagnose because many patients are asymptomatic or have symptoms ascribed to other causes. Additionally, pelvic and sacral fractures are difficult to visualize radiographically. ➢ Nonoperative treatment is appropriate for most patients and focuses on pain management, the improvement of mobility and activities of daily living, and nutritional support. ➢ The surgical indications are intractable pain, poor functional ability, radiographic evidence of deterioration, and neurologic deficits. ➢ Secondary fracture prevention is critical to prevent further fractures and may speed up recovery.