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Does skeletal maturity affect pediatric pelvic injury patterns, associated injuries and treatment intervention?

Christiane G Kruppa1, Justin D Khoriaty2, Debra L Sietsema3

  • 1Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Ruhr-University Bochum, Germany; Grand Rapids Medical Education Partners, Grand Rapids, MI, USA.

Injury
|June 21, 2018
PubMed

Insights

Skeletally mature children with pelvic injuries experience more complex fractures and associated injuries, requiring more operative treatment than skeletally immature children. This study highlights differences in pediatric pelvic trauma based on skeletal maturity.

Area of Science:

  • Orthopaedic Surgery
  • Pediatric Trauma
  • Radiology

Background:

  • Pediatric pelvic injuries are uncommon and present unique patterns due to immature anatomy.
  • Understanding skeletal maturity's impact is crucial for accurate diagnosis and treatment.
  • Previous research has not fully elucidated these differences.

Purpose of the Study:

  • To analyze the influence of skeletal maturity on pediatric pelvic injury patterns.
  • To investigate associated injuries in relation to skeletal maturity.
  • To determine treatment variations based on skeletal maturity.

Main Methods:

  • Retrospective analysis of 90 children with pelvic injuries (March 2002-June 2011).
  • Skeletal maturity assessed by triradiate cartilage closure.
  • Classification using OTA/AO and Young and Burgess systems; Injury Severity Score (ISS) recorded.

Main Results:

  • Skeletally mature children sustained more complex and unstable pelvic injuries (p=0.014).
  • Higher rates of operative intervention (p=0.009) and higher ISS (p=0.013) were observed in mature children.
  • Mature children had significantly more associated injuries, including urinary tract injuries (p=0.049).

Conclusions:

  • Skeletal maturity significantly influences pediatric pelvic injury patterns and severity.
  • Mature children require more complex management, including operative treatment.
  • Higher incidence of associated injuries in skeletally mature pediatric patients necessitates comprehensive evaluation.
Abstract

Keywords:
ImmatureMaturePediatricPelvisTrauma

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