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Paediatric pelvic fractures: how do they differ from adults?
E Hermans1, S T Cornelisse1, J Biert1
1Radboud University Medical Center, Department of Surgery, Division of Trauma Surgery, PO Box 9101, 6500 HB Nijmegen, The Netherlands.
Journal of Children'S Orthopaedics
|April 26, 2017
Summary
Pediatric pelvic fractures are rare and differ from adult fractures in presentation and injury patterns. Despite differences in management, mortality rates remain similar between pediatric and adult patients.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Pediatric Orthopedics
Background:
- Pediatric pelvic fractures are uncommon, necessitating a clear understanding of their unique characteristics.
- Comparing pediatric pelvic fractures with adult cases aids in optimizing treatment strategies.
Purpose of the Study:
- To review the incidence, presentation, treatment, and complications of pediatric pelvic fractures.
- To compare pediatric pelvic fracture data with adult pelvic fracture data.
Main Methods:
- Retrospective chart review of pediatric pelvic fractures (1993-2013).
- Comparison with adult pelvic fracture data (2007-2012).
Main Results:
- 51 children and 268 adults identified; children more involved in traffic accidents.
- Adults had higher Injury Severity Score (ISS) and hemodynamic instability; Type C fractures more common in adults, Type B in children.
- Mortality rates were similar (6% pediatric vs. 8% adult), often due to associated injuries.
Conclusions:
- Pediatric pelvic fractures present differently than adult fractures, with distinct associated injuries and management approaches.
- While rare, pediatric pelvic fractures carry a substantial mortality rate comparable to adults.
- Mortality in pediatric pelvic fractures is primarily attributed to concomitant injuries, not exsanguination.
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