title: Pelvic trauma: WSES classification and guidelines.
abstract: Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Coccolini
authors.affiliation: Department of Orthopedic Surgery and Department of Neurosurgery, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO USA.
authors.forename: Philip F
authors.initials: PF
authors.lastname: Stahel
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Giulia
authors.initials: G
authors.lastname: Montori
authors.affiliation: Acute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.
authors.forename: Walter
authors.initials: W
authors.lastname: Biffl
authors.affiliation: Dept. of Cardiothoracic and Vascular Surgery & Dept. Of Surgery Örebro University Hospital and Örebro University, Örebro, Sweden.
authors.forename: Tal M
authors.initials: TM
authors.lastname: Horer
authors.affiliation: Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.
authors.forename: Fausto
authors.initials: F
authors.lastname: Catena
authors.affiliation: Division of General Surgery Rambam Health Care Campus Haifa, Haifa, Israel.
authors.forename: Yoram
authors.initials: Y
authors.lastname: Kluger
authors.affiliation: Trauma Surgery, Denver Health, Denver, CO USA.
authors.forename: Ernest E
authors.initials: EE
authors.lastname: Moore
authors.affiliation: Surgery Department, University of Pittsburgh, Pittsburgh, Pensylvania USA.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Peitzman
authors.affiliation: Virginia Commonwealth University, Richmond, VA USA.
authors.forename: Rao
authors.initials: R
authors.lastname: Ivatury
authors.affiliation: Department of Surgery, UC San Diego Health System, San Diego, USA.
authors.forename: Raul
authors.initials: R
authors.lastname: Coimbra
authors.affiliation: Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.
authors.forename: Gustavo Pereira
authors.initials: GP
authors.lastname: Fraga
authors.affiliation: Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.
authors.forename: Bruno
authors.initials: B
authors.lastname: Pereira
authors.affiliation: Trauma & Acute Care Service, St Michael's Hospital, Toronto, ON Canada.
authors.forename: Sandro
authors.initials: S
authors.lastname: Rizoli
authors.affiliation: General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, AB Canada.
authors.forename: Andrew
authors.initials: A
authors.lastname: Kirkpatrick
authors.affiliation: Abdominal Center, University Hospital Meilahti, Helsinki, Finland.
authors.forename: Ari
authors.initials: A
authors.lastname: Leppaniemi
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Manfredi
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Magnone
authors.affiliation: Emergency and Trauma Surgery, Niguarda Hospital, Milan, Italy.
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Chiara
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Solaini
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Ceresoli
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Niccolò
authors.initials: N
authors.lastname: Allievi
authors.affiliation: Digestive and Emergency Surgery, UGA-Université Grenoble Alpes, Grenoble, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Arvieux
authors.affiliation: Harvard Medical School, Division of Trauma, Emergency Surgery and Surgical Critical Care Massachusetts General Hospital, Boston, MA USA.
authors.forename: George
authors.initials: G
authors.lastname: Velmahos
authors.affiliation: Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Balogh
authors.affiliation: Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.
authors.forename: Noel
authors.initials: N
authors.lastname: Naidoo
authors.affiliation: Department of General Surgery, Royal Perth Hospital, Perth, Australia.
authors.forename: Dieter
authors.initials: D
authors.lastname: Weber
authors.affiliation: Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
authors.forename: Fikri
authors.initials: F
authors.lastname: Abu-Zidan
authors.affiliation: General and Emergency Surgery, Macerata Hospital, Macerata, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Sartelli
authors.affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Ansaloni
mesh_terms: D019468:Disease Management; D055317:Evidence-Based Practice / Q000379:methods / Q000639:trends; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000145:classification* / Q000150:complications / Q000175:diagnosis; D017408:Guidelines as Topic; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D015601:Injury Severity Score; D010388:Pelvis / Q000293:injuries* / Q000503:physiopathology; D014947:Wounds and Injuries / Q000145:classification* / Q000175:diagnosis / Q000628:therapy
keywords: ABO; Angiography; External fixation; Guidelines; Injury; Internal fixation; Management; Mechanic; Pelvic; Pelvic ring fractures; Preperitoneal pelvic packing; REBOA; Trauma; X-ray