title: Pelvic fractures in a pediatric level I trauma center.
abstract: OBJECTIVE
  Assess the characteristics associated with the risk of complications and mortality in children sustaining pelvic fractures.
  
  
  METHODS
  Urban university pediatric Level I trauma center in a large metropolitan community.
  
  
  METHODS
  Retrospective analysis of 57 consecutive children with 66 pelvic fractures seen between 1993 and 1999.
  
  
  METHODS
  Fifty-two patients were treated nonoperatively, and five patients required operative stabilization (four acetabular fractures and one partial sacroiliac joint disruption).
  
  
  METHODS
  Type and cause of pelvic fracture, type of management used, incidence of associated injuries, hemorrhage requiring transfusion, and mortality.
  
  
  RESULTS
  Hemorrhage directly related to the pelvic fracture occurred in only one patient (2%), whereas 11 other patients required transfusions associated with other body-area injuries. Three patients with pelvic fractures died (5%), but deaths were due to other body-area injuries.
  
  
  CONCLUSIONS
  Children with pediatric pelvic fractures require careful evaluation for other body-area injuries, as these are most likely to be related to hemorrhage or mortality.
authors.affiliation: Northwestern University Medical Center, Chicago, Illinois, USA.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Grisoni
authors.forename: Susan
authors.initials: S
authors.lastname: Connor
authors.forename: Eric
authors.initials: E
authors.lastname: Marsh
authors.forename: George H
authors.initials: GH
authors.lastname: Thompson
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Cooperman
authors.forename: Laurel C
authors.initials: LC
authors.lastname: Blakemore
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000401:mortality* / Q000628:therapy; D006620:Hip Fractures / Q000150:complications* / Q000401:mortality* / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D010372:Pediatrics / Q000706:statistics & numerical data*; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D014193:Trauma Centers / Q000706:statistics & numerical data*; D015599:Trauma Severity Indices