Pelvic injury in childhood: what is its current importance?
Acta ortop. bras
;
24(3): 155-158, May-June 2016. tab, Ilus
Artigo
em Inglês
| 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
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ossos Pélvicos
/
Acidentes de Trânsito
/
Epidemiologia
/
Fraturas Ósseas
/
Prevenção de Acidentes
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Criança
/
Humanos
Idioma:
Inglês
Revista:
Acta ortop. bras
Assunto da revista:
Ortopedia
Ano de publicação:
2016
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Irmandade da Santa Casa de Misericórdia de São Paulo/BR
Similares
MEDLINE
...
LILACS
LIS