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Pelvic injury in childhood: what is its current importance?
Guerra, María Roxana Viamont; Braga, Susana Reis; Akkari, Miguel; Santili, Claudio.
  • Guerra, María Roxana Viamont; Irmandade da Santa Casa de Misericórdia de São Paulo. Department of Orthopedics and Traumatology. São Paulo. BR
  • Braga, Susana Reis; Irmandade da Santa Casa de Misericórdia de São Paulo. Department of Orthopedics and Traumatology. São Paulo. BR
  • Akkari, Miguel; Irmandade da Santa Casa de Misericórdia de São Paulo. Department of Orthopedics and Traumatology. São Paulo. BR
  • Santili, Claudio; Irmandade da Santa Casa de Misericórdia de São Paulo. Department of Orthopedics and Traumatology. São Paulo. BR
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
Subject(s)


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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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