Abstract
Introduction
Paediatric pelvic fractures have been infrequently reviewed. The study was performed
to highlight the unique features of pelvic fractures in children.
Patients and methods
A 14-year retrospective study was undertaken of all patients treated for a pelvic
fracture at our institute.
Results
Thirty-nine children were included. The mean Injury Severity Score (ISS) was 17.1
(range 4–75). Simple ring fractures were the most common type (46%), dominated by
pedestrian versus motor vehicle trauma (58.9%). A pelvic fracture was evident on the
initial plain radiographs of all 39 children. Further radiographic investigations
(12 CTs and 1 MRI) were undertaken in 13 (33%) of the children. Additional posterior
ring fractures were identified in 9. A total of 32 children (82%) sustained one or
more associated injuries. Head injuries accounted for 25% and orthopaedic/skeletal
injuries for 33% of all associated injuries. Fourteen children required a total of
24 acute surgical procedures. Mean out-pateint clinical follow-up was for 27 months
(range 3–85). There was one mortality in this series. Eight children (20%) suffered
long term sequale.
Conclusion
Paediatric pelvic fractures differ from their adult counterpart in aetiology, fracture
type, and associated injury pattern. They represent a reliable marker for severe trauma.
Prospective studies are required to define optimal treatment guidelines, particularly
in older children.
Keywords
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Article info
Publication history
Accepted:
August 3,
2010
Identification
Copyright
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
