PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE?

AUTOR(ES)

GUERRA, MARÍA ROXANA VIAMONT, BRAGA, SUSANA REIS, AKKARI, MIGUEL, SANTILI, CLAUDIO

FONTE

Acta ortop. bras.

DATA DE PUBLICAÇÃO

2016-06

RESUMO

ABSTRACT Objective: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. Methods: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. Results: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%). At hospital admission, 92% had traumatic brain injury and 40% had hemodynamic instability. Besides pelvic fractures, 56% of the children had other associated injuries (genitourinary, abdominal, vascular, chest and neurological), and 79% of them required operative treatment. According to the Torode and Zieg classification, the majority of cases were types III and IV. Seventy-two percent of all pelvic fractures were treated by surgery; 52% involved external fixation and 20% involved open reduction and internal fixation. Conclusions: The pelvic fractures in childhood can be considered a marker for injury severity, because the associated injuries usually are severe, needing operative treatment and leading to a high mortality rate (12%). Level of Evidence IV, Case Series.

Documentos Relacionados

• Venous thromboembolism in childhood: where is Brazil after 20 years?
• Management of Intermittent exotropia in childhood: current concepts of the literature and the experts
• Cerebrovascular disorders in childhood: neuropsychological investigation
• Cataract in childhood: photograph methods in assessment.
• Childhood immunisation: what is the future?