title: [Pelvic injuries in childhood and adolescence: Retrospective analysis of 5-year data from a national trauma centre].
abstract: BACKGROUND
  Pelvic fractures are uncommon injuries in paediatric trauma patients because of specific anatomical features. Due to the low incidence there is no standardized therapeutic algorithm.
  
  
  METHODS
  This retrospective review evaluates paediatric pelvic fractures of a Level I Trauma Centre over 5 years. In addition, we compared the data with adult pelvic fractures and reviewed the literature. A total of 37 pelvic fractures (≤16 years) were documented, with an incidence of 9.9% in the child with multiple injuries. The most common injury mechanisms were traffic accidents, followed by falls from heights.
  
  
  RESULTS
  Type A injuries occurred in 50% (type B: 16%, type C: 27%, acetabular injuries: 11%). Osteosynthesis was performed in nine cases. Therapeutic intervention was necessary in three cases of haemodynamically relevant bleeding; 97% of all children had associated injuries (mean ISS: 38).
  
  
  CONCLUSIONS
  Our data showed some differences to the literature. Pelvic fractures are predictors for high injury severity. Despite similar fracture pattern, in contrast to adults most injuries could be treated non-operatively. In unstable or dislocated fractures open reduction and stabilization must be performed.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland. Dorien.Schneidmueller@kgu.de
authors.forename: D
authors.initials: D
authors.lastname: Schneidmueller
authors.forename: S
authors.initials: S
authors.lastname: Wutzler
authors.forename: A
authors.initials: A
authors.lastname: Kelm
authors.forename: H
authors.initials: H
authors.lastname: Wyen
authors.forename: F
authors.initials: F
authors.lastname: Walcher
authors.forename: I
authors.initials: I
authors.lastname: Marzi
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000453:epidemiology* / Q000601:surgery*; D005858:Germany; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D011379:Prognosis; D012189:Retrospective Studies; D014193:Trauma Centers / Q000706:statistics & numerical data*