Journal de traumatisme et de traitement

Pediatric Pelvis Fractures

Abstract

Bibiana Dellorusso

Purpose: Pelvic fractures are uncommon in children. They rank second to those of the skull in terms of complication. The present study retrospectively evaluates 200 multi-trauma patients. Mode of injury, type of fracture, associated lesions, morbidity and mortality were assessed. Methods: Fractures were classified according to the tile pelvic fractures classification and injury severity was classified according to the Modified Injury Severity Scale (MISS) and Pediatric Trauma Score (PTS). The type of fracture correlated with injury severity and complications. The greatest morbidity and mortality was found in patients with completely unstable pelvic fractures. Results: In the pre-hospital stage at the site of the accident, the PTS demonstrated to be a very useful tool to assess injury severity of the patient, to decide on the first treatment measures, and to evaluate the degree of complexity of care the patient needs. The MISS showed to have good predictive value for injury assessment during the in-hospital stage Conclusions: Pelvic fractures are rare in children. Early stabilization with external fixation is the gold standard for the management of patients with fractures of the pelvic ring. In the pre-hospital stage at the site of the accident, the PTS demonstrated to be a very useful tool to assess injury severity of the patient, to decide on the first treatment measures, and to evaluate the degree of complexity of care the patient needs. The MISS showed to have good predictive value for injury assessment during the inhospital stage and is, together with the tile classification, useful for the staging of associated injury and the degree of morbidity and mortality. Adequate treatment of this type of fracture allows to minimize sequelae in the growing skeleton. Correct orthopedic treatment is important in the majority of these lesions.