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Related Experiment Videos

Pelvic fracture pattern does not always predict the need for urgent embolization.

Eric L Sarin1, John B Moore, Ernest E Moore

  • 1Department of Surgery, Denver Health Medical Center, Colorado 80204, USA.

The Journal of Trauma
|May 28, 2005
PubMed
Summary

Pelvic fracture patterns do not reliably predict the need for embolization in trauma patients. Age and gender may be more important factors in determining the necessity of angiography for arterial hemorrhage control.

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Area of Science:

  • Trauma surgery
  • Vascular radiology
  • Orthopedic trauma

Background:

  • Pelvic fractures can cause life-threatening arterial hemorrhage.
  • Hemorrhage is often complicated by other injuries, complicating treatment decisions.
  • Previous studies linked fracture geometry and major ligamentous disruption (MLD) to arterial hemorrhage.

Purpose of the Study:

  • To investigate the relationship between MLD and the need for angiographic embolization in pelvic fracture patients.
  • To determine if pelvic fracture patterns are reliable indicators for embolization.

Main Methods:

  • Retrospective review of 283 pelvic fracture patients with systolic blood pressure ≤ 90 mmHg (1996-2002).
  • MLD was defined using the Young-Burgess classification (AP types II/III, LC type III, combined mechanism, vertical shear).

Related Experiment Videos

  • Analysis of the correlation between fracture pattern, MLD, and the requirement for angiographic embolization.

    • Main Results:

    • 37% of patients required angiographic embolization for hemorrhage control.
    • Pelvic fracture pattern (MLD vs. non-MLD) did not significantly differ between embolized and non-embolized groups.
    • Age predicted embolization need in women, while Injury Severity Score predicted it in men.

    Conclusions:

    • Pelvic fracture pattern alone is not a consistent predictor for the need for urgent embolization.
    • Angiography decisions should not rely solely on fracture pattern.
    • Age and gender may have predictive value and warrant further investigation.