Fractura de pelvis en niños

Abstract

Although pelvic fractures are relatively common in adults, and have been widely reported in the literature, the general orthopaedic surgeon should have knowledge of these fractures in children, in order for them to be able to manage them immediately and effectively. Pelvic fractures are uncommon in children. Current reports in the literature estimate that they account for 2.4 to 7.5% of all admissions for closed injuries. Other reports indicate that they are presented in one per 100,000 children per year, with a mortality of 25%. These types of fractures in children have an epidemiology, incidence, and management different to that of adults. The main differences are based on anatomical conditions that require a particular management, since the pelvis absorbs more energy before fracturing. This means that when faced with a child with a pelvic fracture, it is treated as a major multisystemic trauma that requires multidisciplinary support. A large amount of information on the adult population can be found in the literature, whereas it is limited in the case of paediatrics.