ArticleJournal of orthopaedic surgery and research2025
Clinical and surgical outcomes of pediatric pelvic fractures: experience from a mass-casualty and routine trauma cohort.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPediatric pelvic fractures are rare but potentially life-threatening injuries associated with high-energy trauma and complex anatomical considerations. Surgical management is often required, necessitating multidisciplinary care. This study aimed to evaluate the clinical outcomes of surgically treated pediatric pelvic fractures, with special emphasis on earthquake-related injuries.
methodsThis retrospective, single-center study included 36 pediatric patients (aged 0-17) who underwent surgical treatment for pelvic fractures between January 2021 and October 2024. Demographics, injury mechanisms, fracture types (Torode and Zieg classification), surgical procedures, and short-term outcomes were analyzed. A subgroup comparison was performed between earthquake-related and non-earthquake trauma cases.
resultsEarthquake-related trauma was the most frequent mechanism (36.1%), followed by motor vehicle accidents (30.6%) and falls from height (25%). Type IVB fractures were the most common (55.6%). Earthquake-related cases showed longer time to surgery (8.5 vs. 2.3 days, p < 0.001) and higher postoperative CRP (116.7 vs. 33.2 mg/L, p < 0.001). Despite greater injury severity, the majority of patients achieved functional recovery: 63.9% regained full mobility, while 33.3% walked normally with limited running. The overall complication rate was low (16.6%), and no life-threatening events occurred. Hospitalization costs were higher in earthquake cases, driven by Intensive Care Unit (ICU) stay and surgical delay.
conclusionSurgical stabilization of pediatric pelvic fractures achieved favorable short-term outcomes with low complication rates, even in earthquake-related mass-casualty settings. Earthquake cases presented with more severe patterns, longer time to surgery, and greater inflammatory and resource burdens, underscoring the need for rapid triage, coordinated multidisciplinary care, and early mobilization despite operational constraints. These findings argue for disaster-ready pediatric trauma systems and merit validation in prospective multicenter cohorts with long-term functional and economic endpoints.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.