Fractures of the pelvis in children: a review of the literature

Abstract

Trauma is the leading cause of death in children. Pelvic ring injuries account for 0.3-4% of all paediatric injuries. The pattern of fractures differs to that seen in adults as it is more ductile. Pelvic ring injuries tend to be more stable as the relatively thick periosteum restricts bony displacement. Intrapelvic viscera are not well protected and can sustain injury in the absence of pelvic fractures. These injuries have traditionally been treated non-operatively. In this paper, we comprehensively review the literature and propose a protocol for treatment taking into consideration associated organ injuries, hemodynamic status of the patient, patient's age, type of fracture and the stability of the pelvic ring.

Open and contaminated pediatric pelvic ring injury case report: Fixation without metal

“…In a series of 166 patients, Silber et al reported one open book injury (0.6%) [6]. According to the review of literature by Gänsslen A, the reported mortality rate averages 6.4% [1]. This case report describes a pediatric open pelvic injury caused by a crush mechanism between a car and guardrail, and has been reported in line with the SCARE criteria [7].…”

“…Pelvic fractures are relatively uncommon in children, 0.3–7.5% of all pediatric injuries, but when they occur it is typically due to high-energy impact to the lower torso in association with blunt trauma [1], [2], [3], [4], [5]. Gansslen reviewed the literature on pediatric pelvis fractures, which showed that children with pelvic injuries have an average of 5.2 concomitant injuries [1].…”

“…Gansslen reviewed the literature on pediatric pelvis fractures, which showed that children with pelvic injuries have an average of 5.2 concomitant injuries [1]. A multisystem approach to investigation and treatment is essential, because concomitant injury to other organ systems determines overall mortality in this patient group [8].…”

“…A multisystem approach to investigation and treatment is essential, because concomitant injury to other organ systems determines overall mortality in this patient group [8]. Open pelvic fractures have been reported to occur at a rate of 0.6–12.9% of all pediatric pelvic fractures, and mortality rate in these cases can be as high as 20% [1], [6].…”

“…Pelvic fractures are relatively uncommon in children, accounting for 0.3–7.5% of all pediatric injuries [1], [2], [3], [4], [5]. Open book pelvic fractures in children are rare.…”