- 作者：M. Kareem Shaath ; MD ; Kenneth L. Koury ; MD ; Peter D. Gibson ; MD ; Mark R. Adams ; MD ; Michael S. Sirkin ; MD ; Mark C. Reilly ; MD
- 关键词：pediatric pelvic fractures ; multitrauma ; injury burden ; pediatrics ; orthopedics
- 刊名：Journal of Emergency Medicine
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：51
- 期：3
- 页码：246-251
- 全文大小：140 K
Objectives
We performed a retrospective study to review concomitant injuries in children who suffered a pelvic fracture and have an open triradiate cartilage.
Methods
Using a database, pediatric pelvic fractures presenting to the authors' institution were extracted. Radiographs and computed tomography scans were reviewed, ensuring that triradiate cartilages were not fused and the pelvic injuries were classified using the Modified Torode Classification. Epidemiologic data extracted included Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and Abbreviated Injury Score (AIS).
Results
Sixty patients met the inclusion criteria, and their average age was 8.3 years (range 2–14 years). There were no mortalities. The most common mechanism of injury was a vehicle striking a pedestrian. There were no significant correlations between GCS, ISS, and AIS. All 60 children (100%) suffered extremity injuries. Nineteen patients required surgical orthopedic intervention, and 6 required operative stabilization of the pelvis. Patients who were struck by a motor vehicle were more likely to have multiple pelvic fractures (p < 0.05). Patients with multiple pelvic fractures were more likely to require orthopaedic surgical intervention and require a blood transfusion (p < 0.05). Patients who had type III-B or IV fractures were more likely to require a transfusion than patients with III-A fracture (p < 0.05).
Conclusions
Patients sustaining fractures to an immature pelvis are likely to have additional injuries, which may be fatal or disabling if not diagnosed in a timely manner.