Outcomes of Pediatric Pelvic Fractures: A Level I Trauma Center's 20-Year Experience

Pediatric pelvic fractures are rare. The contribution of pelvic fracture pattern, risk factors for associated injuries, and mortality are poorly defined in this population. Patients aged 0-17 with pelvic fractures at a level I trauma center over a 20-y period were reviewed. Fracture patterns were cl...

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Bibliographic Details
Published in:The Journal of surgical research 2019-11, Vol.243, p.515-523
Main Authors: Mulder, Michelle B., Maggart, Michael J., Yang, Wendy J., Perez, Eduardo A., Namias, Nicholas, Sola, Juan E., Proctor, Kenneth G., Thorson, Chad M.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Female
Florida - epidemiology
Fractures, Bone - epidemiology
Fractures, Bone - surgery
Humans
Infant
Injury Severity Score
Male
Multiple Trauma - epidemiology
Pediatric fractures
Pelvic Bones - injuries
Pelvic fractures
Retrospective Studies
Trauma Centers - statistics & numerical data
Young burgess
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Summary:Pediatric pelvic fractures are rare. The contribution of pelvic fracture pattern, risk factors for associated injuries, and mortality are poorly defined in this population. Patients aged 0-17 with pelvic fractures at a level I trauma center over a 20-y period were reviewed. Fracture patterns were classified according to the Young-Burgess classification when applicable. Fractures were analyzed for location, pubic symphysis or sacroiliac widening, and contrast extravasation. There were 163 pelvic fractures in 8758 admissions (incidence 2%). The most common associated injures were extremity fractures (60%, n = 98), abdominal solid organ (55%, n = 89), and chest (48%, n = 78), with the majority (61%, n = 99) sustaining injuries to multiple organs. Unstable fractures were associated with injures to the thorax (70% versus 40%), heart (15% versus 2%), and spleen (40% versus 18%), all P 
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2019.07.011