title: Management of pelvic injuries in pregnancy.
abstract: Pelvic fractures in pregnant women are usually high-energy injuries associated with risk of mortality to both mother and fetus. The mother's life always takes priority in the acute setting as it offers the best chance of survival to both the mother and the fetus. Indications for operative intervention of acute pubic symphysis rupture depend on presence of an open disruption, amount of displacement, and degree of disability. Chronic symphyseal instability related to pregnancy is a challenging problem and the first line of treatment is nonoperative care. A previous pelvic fracture is not a contraindication by itself to vaginal delivery.
authors.affiliation: Department of Orthopaedic Surgery, New York Medical College, 19 Bradhurst Ave, Suite 1300, Hawthorne, NY 10532, USA. lou53nd@gmail.com
authors.forename: Louis F
authors.initials: LF
authors.lastname: Amorosa
authors.forename: Jennifer Harms
authors.initials: JH
authors.lastname: Amorosa
authors.forename: David S
authors.initials: DS
authors.lastname: Wellman
authors.forename: Dean G
authors.initials: DG
authors.lastname: Lorich
authors.forename: David L
authors.initials: DL
authors.lastname: Helfet
mesh_terms: D000063:Accidents, Traffic; D000077:Acetabulum / Q000293:injuries; D002585:Cesarean Section; D005260:Female; D005323:Fetal Monitoring; D050723:Fractures, Bone / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007432:Intraoperative Period; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011631:Pubic Symphysis / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D012151:Resuscitation; D012421:Rupture
keywords: Acetabular fracture; Pelvic fracture; Pelvic instability; Pregnancy; Pubic symphysis rupture