title: [Closed reduction of the sacroiliac joint and acetabular reconstruction in a pediatric patient with a Torode/Zieg IVd unstable pelvic fracture. Case report].
abstract: BACKGROUND
  High-energy severe pelvic injuries in pediatric patients are rare, particularly those associated with acetabular fractures. They are life threatening injuries.
  
  
  METHODS
  We report the case of a pediatric patient with a diagnosis of a Torode/Zieg IVd pelvic fracture. The clinical and radiographic data was reviewed retrospectively.
  
  
  METHODS
  Male, 12 year-old polytraumatized patient with an unstable pelvic fracture who underwent multidisciplinary treatment. He was stabilized in the intensive care unit; the general surgery service performed laparotomy; orthopedic management consisted of closed reduction and internal fixation of the sacroiliac fracture-dislocation and later of open reduction and internal fixation of the right acetabular fracture. The patient´s clinical course was appropriate.
  
  
  CONCLUSIONS
  A diagnosis of a type IVd Torode/Zieg fracture is an absolute indication for surgical management. A multidisciplinary approach is essential to save the life of patients with unstable pelvic lesions. This case shows the complexity of an unstable pelvic fracture associated with multiple injuries, due to a rather infrequent mechanism of injury (being crushed by a tree) in a patient with an immature skeletal system.
authors.affiliation: Servicio de Cirugía de Cadera, Pelvis y Acetábulo. Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
authors.forename: L
authors.initials: L
authors.lastname: Nieto-Lucio
authors.affiliation: Servicio de Traumatología Pediátrica. Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Camarillo-Martínez
authors.affiliation: Servicio de Cirugía de Cadera, Pelvis y Acetábulo. Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
authors.forename: S
authors.initials: S
authors.lastname: Camacho-González
authors.affiliation: Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
authors.forename: S U
authors.initials: SU
authors.lastname: Ceja-Picazo
authors.affiliation: Universidad Nacional Autónoma de México (UNAM) Dirección de Educación e Investigación. México.
authors.forename: J M
authors.initials: JM
authors.lastname: Pérez-Atanasio
keywords: Acetabular fracture; internal fixation; multiple trauma; pediatric patient; sacroiliac joint