Pelvic ring Fracture Pediatric Patients in - 12 Years Review

The aim of this retrospective review was to identify all children that presented to our institution with a pelvic and/or acetabular fracture. We reviewed our trauma database, hospital records and radiological imaging to determine the age, gender, fracture pattern, associated injuries and management of the pelvic fracture in patients under the age 16. We detected a total of 166 patients, 114 males and 54 females. Mean age for boys was 10.3 years and for girls 9.5 years. In 26 children the pelvic fracture was an isolated injury and in the remaining 140 children, there were additional injuries such as limbs fracture/dislocation, head injury, abdominal organ laceration, thoracic injury. In 98 cases ISS was higher than 15, indicating higher mortality rate Twelve patients sustained open pelvic fractures, 12 patients had associated bladder injury caused by pelvic fracture fragments (2 of them also open fractures), 19 patients require any kind of fixation of the pelvis or acetabulum. thirteen patients died in the Emergency room during reanimation maneuvers and 2 the next days after admission. The most common injury mechanism , , was motor vehicle accident as a pedestrian (77 cases), in car motor vehicle accident 29 cases, fall from high 29 cases, bicycle accidents 13 cases and 18 cases with other kind of injury.

Pediatric pelvis fractures are relatively uncommon, resulting mostly from high energy impact. Open fractures are associated with higher mortality rate. The most common type of fixation utilized is external fixation, however, in few cases extra-fixation was needed. Treatment of most pediatric pelvic fractures require multidisciplinary intensive care approach.