TY  - JOUR
PY  - 2016//
TI  - Pelvic injury in childhood: what is its current importance?
JO  - Acta ortopédica Brasileira
A1  - Guerra, María Roxana Viamont
A1  - Braga, Susana dos Reis
A1  - Akkari, Miguel
A1  - Santili, Cláudio
SP  - 155
EP  - 158
VL  - 24
IS  - 3
N2  - OBJECTIVE: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. <br><br>METHODS: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. <br><br>RESULTS: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%). At hospital admission, 92% had traumatic brain injury and 40% had hemodynamic instability. Besides pelvic fractures, 56% of the children had other associated injuries (genitourinary, abdominal, vascular, chest and neurological), and 79% of them required operative treatment. According to the Torode and Zieg classification, the majority of cases were types III and IV. Seventy-two percent of all pelvic fractures were treated by surgery; 52% involved external fixation and 20% involved open reduction and internal fixation. <br><br>CONCLUSIONS: The pelvic fractures in childhood can be considered a marker for injury severity, because the associated injuries usually are severe, needing operative treatment and leading to a high mortality rate (12%). Level of Evidence IV, Case Series.<p />  <p>Language: en</p>
LA  - en
SN  - 1413-7852
UR  - http://dx.doi.org/10.1590/1413-785220162403157540
ID  - ref1
ER  -