Management of an unstable pelvic ring disruption in a 20-month-old patient

Area of Science:

• Orthopedic Surgery
• Pediatric Traumatology
• Emergency Medicine

Background:

• Pelvic ring disruptions are severe injuries, particularly in pediatric patients, often requiring complex management.
• Markedly displaced fractures pose significant challenges due to instability and potential for neurovascular compromise.

Observation:

• A 20-month-old patient presented with a markedly displaced pelvic ring disruption.
• The injury necessitated immediate and comprehensive management strategies.

Findings:

• Successful management was achieved through a multi-modal approach.
• Key interventions included aggressive fluid resuscitation, immobilization with bolsters, percutaneous screw fixation of the posterior pelvic ring, and hip spica casting.

Implications:

• This case demonstrates the feasibility and success of a combined conservative and surgical approach for severe pediatric pelvic ring disruptions.
• The findings support the use of percutaneous fixation and casting as effective treatment modalities in young children.
• Early and appropriate intervention is crucial for optimal outcomes in pediatric pelvic trauma.