ArticleInternational orthopaedics2021
Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Risser growth plate injury in unstable paediatric pelvic fractures: a multicentre retrospective study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Functional results of surgically treated paediatric pelvic fractures are as good as conservatively treated ones: retrospective evaluation of 64 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- [Pelvic Avulsion Fractures in Children: a Retrospective Study from Four Trauma Centers].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2025Article
- Irreducible Locked Symphysis Pubis Disruption Caused by Incarcerated Urinary Bladder in a 14-year-Old Boy, a Case Report and Review of the Literature.Orthopedic research and reviews · 2025Article
- Associated injuries and complications in pediatric pelvic fractures requiring hospitalization: A series of 315 cases.Journal of children's orthopaedics · 2024Article
- Paediatric pelvic fractures - an updated literature review.ANZ journal of surgery · 2022Review
- Surgical management of paediatric pelvic fractures: a prospective case series and early experience from a level one Egyptian trauma centre.International orthopaedics · 2022Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aim of the studyEpidemiologic evaluation of pelvic ring injuries in children.
methodsRetrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher's exact test and Wilcoxon test.
results243 boys, 115 girls, mean age (SD) 14.1 ± 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, combined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. ETIOLOGY: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). DISCUSSION: Results of this trial were comparable with other studies.
conclusionSports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries.
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