,
Department of Medicine, Surgery, and Neurosciences, Section of Neurosurgery, University of Siena , Siena , Italy
Department of Orthopaedics and Traumatology, Vito Fazzi Hospital , Lecce , Italy
Department of Orthopaedics and Traumatology, Trauma Centre Pietro Cosma , Camposampiero, Padua , Italy
Department of Orthopaedics and Traumatology, Santo Spirito Hospital , Pescara , Italy
Department of Orthopaedics and Traumatology, AORN San Pio , Benevento , Italy
Department of Orthopaedics and Traumatology, A. Gemelli University Hospital, Catholic University , Rome , Italy
Department of Orthopaedics and Traumatology, Azienda Ospedaliera Santa Maria della Misericordia , Perugia , Italy
Department of Orthopaedics and Traumatology, AORN San Pio , Benevento , Italy
Orthopaedics and Traumatology Unit, Villa del Sole, Caserta Italy
Department of Orthopaedics and Traumatology, AORN San Pio , Benevento , Italy
Aim
To investigate the effects of surgical reduction of complex acetabular fractures on spine balance, postural stability and quality of life.
Methods
Twenty-six patients with acetabular fractures surgically treated by open reduction and internal fixation were divided into
two groups according to the amount of reduction. Group A consisted of 18 patients with satisfactory reduction (≤2 mm), and group B of eight patients with incomplete reduction (>2 mm). Functional outcome was measured with Harris Hip Score (HHS), Oswestry Disability Index (ODI), and Short Form (12) Health Survey (SF12). Radiological parameters were assessed with standing whole spine, pelvis and hip X-rays, including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and sagittal vertical axis (SVA). Follow-up intervals were 1, 3, 6 and 12 months and annually thereafter. Gait analysis and baropodometry were performed after 24 months of operation.
Results
Mean HHS, ODI, and SF-12 was improved during the first postoperative year in both groups. After two years average scores kept improving for group A, but worsened for group B. Mean PI, PT, and SS increased in both groups during the first postoperative year, with further increase after two years only in group B. After two years, 16 (89%) patients in group A and four (50%) in group B had a balanced spine (SVA <50 mm). Gait analysis and baropodometry showed greater imbalance and overload for group B compared to group A.
Conclusion
In the long term, incomplete reduction of associated acetabular fractures may lead to poor outcome because of secondary spinopelvic imbalance, with posture and gait impairment.
This work is licensed under a Attribution-NonCommercial-NoDerivatives 4.0 International 
5
Tianshu Shi, Qianjin Wang, Siyu Shen, Yong Shi, Jian Huang, Ke Lu, Qing Jiang
(2021)
The influence of different THA surgical approaches on Patient’s early postoperative anxiety and depression
BMC Musculoskeletal Disorders, 22(1)
10.1186/s12891-021-04746-z
Zhaofeng Jia, Hanjun Qin, Jiandong Lin, Xin Wang, Ruochen Bai, Suying Zou, Wenjun Huang, Xinjia Hu
(2024)
Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology
Surgical Innovation, 31(4)
10.1177/15533506241249260
Hong-Li Deng, Dong-Yang Li, Yu-Xuan Cong, Bin-Fei Zhang, Jin-Lai Lei, Hu Wang, Peng-Fei Wang, Yan Zhuang, Chuan Ye
(2022)
Clinical Analysis of Single and Double Sacroiliac Screws in the Treatment of Tile C1 Pelvic Fracture
BioMed Research International, 2022(1)
10.1155/2022/6426977
Linyun Tan, Ye Li, Xin Hu, Yitian Wang, Xiaolu Zhang, Xiaoyan Liu, Yi Luo, Yong Zhou, Chongqi Tu, Xiao Yang, Li Min
(2025)
Clinical Application of 3D‐Printed Custom Hemipelvic Prostheses With Re‐Entrant Chiral Structure in Reconstruction After Pelvic Tumor Resection
Orthopaedic Surgery, 17(11)
10.1111/os.70159
Selma Fensel-Merz, Elke Warmerdam, Marcel Orth, Tim Pohlemann, Emmanouil Liodakis, Bergita Ganse
(2026)
Impaired patient-reported outcomes but preserved gait patterns 5–15 years after acetabular fracture compared with healthy controls
Frontiers in Bioengineering and Biotechnology, 14()
10.3389/fbioe.2026.1727785The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.