[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"sacral-fracture\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:sacral-fracture":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,49,95],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100630891","sacroplasty-for-sacral-insufficiency-fractures-100630891",false,"NCT07493564","Sacroplasty for Sacral Insufficiency Fractures.","Sacroplasty for Sacral Insufficiency Fractures: a Randomised Controlled Trial.","SACRA","Inclusion Criteria:\n\n* Age 50 years or older\n* Low-energy sacral or posterior pelvic fracture confirmed on CT or MRI\n* Symptom duration ≤6 weeks with ongoing pain ≥48 hours\n* Suitable for sacroplasty under local anesthetic with optional sedation\n* Informed consent provided by participant or consultee agreement under the Mental Capacity Act 2005\n\nExclusion Criteria:\n\n* High-energy or unstable pelvic ring fracture requiring open fixation\n* Active infection or malignancy at fracture site\n* Uncorrectable coagulopathy or anatomy precluding safe sacroplasty\n* Life expectancy \\\u003C3 months\n* Participation in conflicting interventional trial\n* Previous sacroplasty\n* Patient not suitable for sacroplasty under local anesthetic with optional sedation","ALL","50 Years",{"count":20,"type":21},78,"ESTIMATED","INTERVENTIONAL",[24],"NA","This study is designed to determine whether sacroplasty, a minimally invasive procedure to stabilize sacral fractures, improves quality of life and functional recovery in adults aged 50 years or older with sacral or posterior pelvic fragility fractures. These fractures are common in older adults and can cause prolonged pain, reduced mobility, and an increased rate of mortality and risk of complications such as pneumonia, blood clots and pressure sores. Standard treatment usually involves pain management, physiotherapy and mobilization but recovery can be slow.\n\nParticipants will be randomly assigned to receive either sacroplasty under local anaesthetic (with optional sedation) performed by interventional radiologists or standard non-surgical care including analgesia and physiotherapy. Follow-up assessments will take place at 6 weeks and 6 months to evaluate pain, mobility, healthcare use, safety and overall quality of life.\n\nThe goal of the study is to provide evidence on whether sacroplasty can accelerate recovery, reduce complications and improve independence and quality of life in older adults with these fractures.",[27,28],"Sacral Fracture","Osteoporotic Fracture",[30,31,32,33,34,35],"sacroplasty","Sacral insufficiency fracture","Pelvic fragility fracture","Minimally invasive","Pain management","Functional recovery","NOT_YET_RECRUITING","2026-03-23",{"date":39,"type":40},"2026-03-25","ACTUAL",{"date":42,"type":21},"2027-01",{"date":44,"type":21},"2030-12",{"name":46,"class":47},"Hull University Teaching Hospitals NHS Trust","OTHER_GOV",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":53,"acronym":54,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":58,"phases":4,"briefSummary":59,"conditions":60,"keywords":74,"overallStatus":84,"whyStopped":4,"lastUpdateSubmitDate":85,"lastUpdatePostDateStruct":86,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":48},"100434493","developing-a-decision-instrument-to-guide-abdominal-pelvic-ct-imaging-of-blunt-trauma-patients-100434493","NCT04937868","Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients","NEXUS AP CT","Inclusion Criteria:\n\nBlunt trauma patients who undergo abdominal-pelvic CT imaging during their initial trauma evaluation in the emergency department.\n\nExclusion Criteria:\n\nNone",{"count":57,"type":21},12000,"OBSERVATIONAL","Unrecognized abdominal and pelvic injuries can result in catastrophic disability and death. Sporadic reports of \"occult\" injuries have generated concern, and physicians, fearing that they may miss such an injury, have adopted the practice of obtaining computed tomography on virtually all patients with significant blunt trauma. This practice exposes large numbers patients to dangerous radiation at considerable expense, while detecting injuries in a small minority of cases.\n\nExisting data suggest that a limited number of criteria can reliably identify blunt injury victims who have \"no risk\" of abdominal or pelvic injuries, and hence no need for computed tomography (CT), without misidentifying any injured patient. It is estimated that nationwide implementation of such criteria could result in an annual reduction in radiographic charges of $75 million, and a significant decrease in radiation exposure and radiation induced malignancies.\n\nThis study seeks to determine whether \"low risk\" criteria can reliably identify patients who have sustained significant abdominal or pelvic injuries and safely decrease CT imaging of blunt trauma patients. This goal will be accomplished in the following manner:\n\nAll blunt trauma victims undergoing computed tomography of the abdomen\u002Fpelvis in the emergency department will undergo routine clinical evaluations prior to radiographic imaging. Based on these examinations, the presence or absence of specific clinical findings (i.e. abdominal\u002Fpelvic\u002Fflank pain, abdominal\u002Fpelvic\u002Fflank tenderness, bruising abrasions, distention, hip pain, hematuria, hypotension, tachycardia, low or falling hematocrit, intoxication, altered sensorium, distracting injury, positive FAST imaging, dangerous mechanism, abnormal x-ray imaging) will be recorded for each patient, as will the presence or absence of abdominal or pelvic injuries. The clinical findings will serve as potential imaging criteria. At the completion of the derivation portion of the study the criteria will be examined to find a subset that predicts injury with high sensitivity, while simultaneously excluding injury, and hence the need for imaging, in the remaining patients. These criteria will then be confirmed in a separate validation phase of the study.\n\nThe criteria will be considered to be reliable if the lower statistical confidence limit for the measured sensitivity exceeds 98.0%. Potential reductions in CT imaging will be estimated by determining the proportion of \"low-risk\" patients that do not have significant abdominal or pelvic injuries.",[61,62,63,64,65,66,67,68,69,70,71,72,73,27],"Abdominal Injury","Pelvic Fracture","Genital Hemorrhage","Lumbar Spine Injury","Hip Injuries","Liver Injury","Spleen Injury","Renal Injury","Diaphragm Injury","Aortic Rupture","Aortic Dissection","Bowel Disease","Vascular System Injuries",[75,76,77,78,79,80,81,82,83],"Blunt trauma","Abdominal injury","Pelvic injury","Spine injury","Genital injury","Vascular injury","Hip injury","Computed tomography","Decision instrument","RECRUITING","2026-01-09",{"date":87,"type":40},"2026-01-13",{"date":89,"type":40},"2018-01-15",{"date":91,"type":21},"2027-06-15",{"name":93,"class":94},"University of California, Los Angeles","OTHER",{"id":96,"slug":97,"hasResults":11,"nctId":98,"briefTitle":99,"officialTitle":100,"acronym":101,"eligibilityCriteria":102,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":103,"targetDuration":4,"studyType":22,"phases":105,"briefSummary":106,"conditions":107,"keywords":4,"overallStatus":84,"whyStopped":4,"lastUpdateSubmitDate":110,"lastUpdatePostDateStruct":111,"startDateStruct":113,"completionDateStruct":115,"leadSponsor":117,"locationsCount":119},"100520253","impact-of-a-clinical-pathway-for-pelvic-fragility-fractures-100520253","NCT06054165","Impact of a Clinical Pathway for Pelvic Fragility Fractures","Impact of Regional Implementation of a Clinical Pathway for ELderly Patients With pelVIc Fragility fraCtures (PELVIC); a Multicenter, Stepped-wedge Randomized Controlled Trial","PELVIC","Inclusion Criteria:\n\n* Pelvic fragility fracture caused by low energetic trauma\n* Patients presented at the emergency room or out-patient clinic of a participating hospital\n\nExclusion Criteria:\n\n* Patients with high suspicion of a pelvic fracture due to a malignant tumor\n* Patients who are unable to follow instructions due to severe cognitive decline (for example due to dementia or Alzheimer's disease)\n* Patients who pre-trauma received palliative or terminal care\n* Patients who pre-trauma were wheelchair bound or bedridden\n* Patients who suffer from complications from previous pelvic ring fixation\n* Patients with insufficient comprehension of the Dutch language to be able to carry out the physiotherapy instructions for early mobilization",{"count":104,"type":21},393,[24],"Patients with pelvic fragility fractures suffer from high morbidity and mortality rates. Despite the high incidence of these injuries, there is currently no regional or nationwide treatment protocol which results in a wide variety of clinical practice. New insights in treatment strategies, such as early diagnosis and minimal invasive operative treatment of these fragile patient population, has led to the development of several clinical pathways in recent literature. The aim of this study is to implement an evidence and experience-based treatment clinical pathway to improve the outcomes in this fragile patient population that currently has multifactorial risks for poor outcome.",[108,27,62,109],"Pelvic Bone Injury","Fragility Fracture","2024-06-21",{"date":112,"type":40},"2024-06-24",{"date":114,"type":40},"2024-01-21",{"date":116,"type":21},"2027-04-27",{"name":118,"class":94},"Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)",8]