@article{ref1,
title="Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers",
journal="International orthopaedics",
year="2021",
author="Salášek, Martin and Havránek, Petr and Havlas, Vojtěch and Pavelka, Tomáš and Pešl, Tomáš and Stančák, Andrej and Hendrych, Jan and Džupa, Valér",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM OF THE STUDY: Epidemiologic evaluation of pelvic ring injuries in children. <br><br>METHODS: Retrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher's exact test and Wilcoxon test. <br><br>RESULTS: 243 boys, 115 girls, mean age (SD) 14.1 ± 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, combined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. ETIOLOGY: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). <br><br>DISCUSSION: Results of this trial were comparable with other studies. <br><br>CONCLUSION: Sports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries.<p /> <p>Language: en</p>",
language="en",
issn="0341-2695",
doi="10.1007/s00264-021-05105-2",
url="http://dx.doi.org/10.1007/s00264-021-05105-2"
}