PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE?
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000300155 |
Resumo: | ABSTRACT Objective: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. Methods: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. Results: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%). At hospital admission, 92% had traumatic brain injury and 40% had hemodynamic instability. Besides pelvic fractures, 56% of the children had other associated injuries (genitourinary, abdominal, vascular, chest and neurological), and 79% of them required operative treatment. According to the Torode and Zieg classification, the majority of cases were types III and IV. Seventy-two percent of all pelvic fractures were treated by surgery; 52% involved external fixation and 20% involved open reduction and internal fixation. Conclusions: The pelvic fractures in childhood can be considered a marker for injury severity, because the associated injuries usually are severe, needing operative treatment and leading to a high mortality rate (12%). Level of Evidence IV, Case Series. |
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PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE?Fractures, bonePelvic BonesAccident preventionChildABSTRACT Objective: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. Methods: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. Results: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%). At hospital admission, 92% had traumatic brain injury and 40% had hemodynamic instability. Besides pelvic fractures, 56% of the children had other associated injuries (genitourinary, abdominal, vascular, chest and neurological), and 79% of them required operative treatment. According to the Torode and Zieg classification, the majority of cases were types III and IV. Seventy-two percent of all pelvic fractures were treated by surgery; 52% involved external fixation and 20% involved open reduction and internal fixation. Conclusions: The pelvic fractures in childhood can be considered a marker for injury severity, because the associated injuries usually are severe, needing operative treatment and leading to a high mortality rate (12%). Level of Evidence IV, Case Series.ATHA EDITORA2016-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000300155Acta Ortopédica Brasileira v.24 n.3 2016reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220162403157540info:eu-repo/semantics/openAccessGUERRA,MARÍA ROXANA VIAMONTBRAGA,SUSANA REISAKKARI,MIGUELSANTILI,CLAUDIOeng2016-05-12T00:00:00Zoai:scielo:S1413-78522016000300155Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2016-05-12T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
title |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
spellingShingle |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? GUERRA,MARÍA ROXANA VIAMONT Fractures, bone Pelvic Bones Accident prevention Child |
title_short |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
title_full |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
title_fullStr |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
title_full_unstemmed |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
title_sort |
PELVIC INJURY IN CHILDHOOD: WHAT IS ITS CURRENT IMPORTANCE? |
author |
GUERRA,MARÍA ROXANA VIAMONT |
author_facet |
GUERRA,MARÍA ROXANA VIAMONT BRAGA,SUSANA REIS AKKARI,MIGUEL SANTILI,CLAUDIO |
author_role |
author |
author2 |
BRAGA,SUSANA REIS AKKARI,MIGUEL SANTILI,CLAUDIO |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
GUERRA,MARÍA ROXANA VIAMONT BRAGA,SUSANA REIS AKKARI,MIGUEL SANTILI,CLAUDIO |
dc.subject.por.fl_str_mv |
Fractures, bone Pelvic Bones Accident prevention Child |
topic |
Fractures, bone Pelvic Bones Accident prevention Child |
description |
ABSTRACT Objective: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. Methods: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. Results: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%). At hospital admission, 92% had traumatic brain injury and 40% had hemodynamic instability. Besides pelvic fractures, 56% of the children had other associated injuries (genitourinary, abdominal, vascular, chest and neurological), and 79% of them required operative treatment. According to the Torode and Zieg classification, the majority of cases were types III and IV. Seventy-two percent of all pelvic fractures were treated by surgery; 52% involved external fixation and 20% involved open reduction and internal fixation. Conclusions: The pelvic fractures in childhood can be considered a marker for injury severity, because the associated injuries usually are severe, needing operative treatment and leading to a high mortality rate (12%). Level of Evidence IV, Case Series. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000300155 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000300155 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-785220162403157540 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.24 n.3 2016 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122275517169664 |