Low-Energy Pelvic Ring Fractures: A Care Conundrum

Bailey R. Abernathy, Lisa K. Schroder, Deborah C. Bohn, Julie A. Switzer

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.

Original languageEnglish (US)
JournalGeriatric Orthopaedic Surgery and Rehabilitation
StatePublished - Feb 14 2021

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.


  • fragility fractures
  • geriatric orthopedic trauma
  • low-energy fracture
  • nonoperative management
  • osteoporosis
  • pelvic ring fracture
  • systems of care


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