@article{ref1,
title="Pelvis injuries in childhood and adolescence : Retrospective analysis of 5-year data from a national trauma centre",
journal="Unfallchirurg",
year="2011",
author="Schneidmueller, D. and Wutzler, S. and Kelm, A. and Wyen, H. and Walcher, F. and Marzi, I.",
volume="114",
number="6",
pages="510-516",
abstract="BACKGROUND: Pelvic fractures are uncommon injuries in paediatric trauma patients because of specific anatomical features. Due to the low incidence there is no standardized therapeutic algorithm. MATERIAL AND METHODS: This retrospective review evaluates paediatric pelvic fractures of a Level I Trauma Centre over 5 years. In addition, we compared the data with adult pelvic fractures and reviewed the literature. A total of 37 pelvic fractures (≤16 years) were documented, with an incidence of 9.9% in the child with multiple injuries. The most common injury mechanisms were traffic accidents, followed by falls from heights. RESULTS: Type A injuries occurred in 50% (type B: 16%, type C: 27%, acetabular injuries: 11%). Osteosynthesis was performed in nine cases. Therapeutic intervention was necessary in three cases of haemodynamically relevant bleeding; 97% of all children had associated injuries (mean ISS: 38). CONCLUSION: Our data showed some differences to the literature. Pelvic fractures are predictors for high injury severity. Despite similar fracture pattern, in contrast to adults most injuries could be treated non-operatively. In unstable or dislocated fractures open reduction and stabilization must be performed.<p /> <p>Language: de</p>",
language="de",
issn="0177-5537",
doi="10.1007/s00113-010-1918-1",
url="http://dx.doi.org/10.1007/s00113-010-1918-1"
}