Observational studyBMC musculoskeletal disorders2021
Clinical characteristics, injury pattern and management of pediatric pelvic fracture: An observational retrospective study from a level I trauma center.
Observational study in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 20 citations in OpenAlex.
- Identification of a saddle point (SP) for safe sacral segment channel planning via data analysis and rapid physical prototyping.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Surgical Management of Pediatric Acetabular Fractures: A Retrospective Study of 14 Rare Cases.Orthopaedic surgery · 2026Article
- Clinical and surgical outcomes of pediatric pelvic fractures: experience from a mass-casualty and routine trauma cohort.Journal of orthopaedic surgery and research · 2025Observational
- 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
- Comparison of pediatric pelvic fractures and associated injuries caused by different types of road traffic accidents.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2024Article
- Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study.Children (Basel, Switzerland) · 2024Article
- Enhancing Trauma Care: A Machine Learning Approach with XGBoost for Predicting Urgent Hemorrhage Interventions Using NTDB Data.Bioengineering (Basel, Switzerland) · 2024Article
- Associated injuries and complications in pediatric pelvic fractures requiring hospitalization: A series of 315 cases.Journal of children's orthopaedics · 2024Article
- Magnetic Resonance Imaging in Pediatric Acetabulum Fractures with Open Triradiate Cartilage-A Report of 3 Cases.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Clinical and epidemiological characteristics of 369 patients with pelvic fractures in Eastern Zhejiang Province of China: a retrospective study.BMC musculoskeletal disorders · 2023Article
- Secure paediatric pelvic fracture external fixation using an intraoperative support device.BMJ case reports · 2023Article
- Paediatric pelvic fractures - an updated literature review.ANZ journal of surgery · 2022Review
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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
backgroundPediatric pelvic fractures (PPF) are uncommon among children requiring hospitalization after blunt trauma. The present study explored our experience for the prevalence, patients demographics, clinical characteristics, injury pattern and management of pediatric pelvic fractures in a level I trauma center.
methodsThis is a retrospective review of prospectively collected data obtained from trauma registry database for all pediatrics trauma patients of age ≤18 years. Data were analyzed according to different aspects relevant to the clinical applications such as Torode classification for pelvic ring fracture (Type I-IV), open versus closed triradiate cartilage, and surgical versus non-surgical management.
resultsDuring the study period (3 and half years), a total of 119 PPF cases were admitted at the trauma center (11% of total pediatric admissions); the majority had pelvic ring fractures (91.6%) and 8.4% had an acetabular fracture. The mean age of patients was 11.5 ± 5.7, and the majority were males (78.2%). One hundred and four fractures were classified as type I (5.8%), type II (13.5%), type III (68.3%) and type IV (12.5%). Patients in the surgical group were more likely to have higher pelvis AIS (p = 0.001), type IV fractures, acetabular fractures and closed triradiate cartilage as compared to the conservative group. Type III fractures and open triradiate cartilage were significantly higher in the conservative group (p < 0.05). Patients with closed triradiate cartilage frequently sustained spine, head injuries, acetabular fracture and had higher mean ISS and pelvis AIS (p < 0.01) than the open group. However, the rate of in-hospital complications and mortality were comparable among different groups. The overall mortality rate was 2.5%.
conclusionPPF are uncommon and mainly caused by high-impact trauma associated with multisystem injuries. The majority of PPF are stable, despite the underlying high-energy mechanism. Management of PPF depends on the severity of fracture as patients with higher grade fractures require surgical intervention. Furthermore, larger prospective study is needed to understand the age-related pattern and management of PPF.
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