Acta Ortopédica Brasileira (Jun 2016)

PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE?

  • MARÍA ROXANA VIAMONT GUERRA,
  • SUSANA REIS BRAGA,
  • MIGUEL AKKARI,
  • CLAUDIO SANTILI

DOI
https://doi.org/10.1590/1413-785220162403157540
Journal volume & issue
Vol. 24, no. 3
pp. 155 – 158

Abstract

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ABSTRACT Objective: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. Methods: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. Results: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%). At hospital admission, 92% had traumatic brain injury and 40% had hemodynamic instability. Besides pelvic fractures, 56% of the children had other associated injuries (genitourinary, abdominal, vascular, chest and neurological), and 79% of them required operative treatment. According to the Torode and Zieg classification, the majority of cases were types III and IV. Seventy-two percent of all pelvic fractures were treated by surgery; 52% involved external fixation and 20% involved open reduction and internal fixation. Conclusions: The pelvic fractures in childhood can be considered a marker for injury severity, because the associated injuries usually are severe, needing operative treatment and leading to a high mortality rate (12%). Level of Evidence IV, Case Series.

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