Pelvic injury in childhood: what is its current importance?
Acta ortop. bras
;
24(3): 155-158, May-June 2016. tab, Ilus
Article
in English
| LILACS
| ID: lil-782004
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
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pelvic Bones
/
Accidents, Traffic
/
Epidemiology
/
Fractures, Bone
/
Accident Prevention
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Humans
Language:
English
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2016
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Irmandade da Santa Casa de Misericórdia de São Paulo/BR
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