Abstract
Pelvic ring fractures are common in high-energy blunt trauma, especially in traffic accidents. These types of injuries have a high rate of morbidity and mortality, due to the common instability of the fractures, and the associated intrapelvic vascular and visceral complications. Computed tomography (CT) is the gold standard technique in the evaluation of pelvic trauma because it can quickly and accurately identify pelvic ring fractures, intrapelvic active bleeding, and lesions of other body systems. To properly guide the multidisciplinary management of the polytrauma patient, a classification criterion is mandatory. In this review, we decided to focus on the Young and Burgess classification, because it combines the mechanism and the stability of the fractures, helping to accurately identify injuries and related complications.
Highlights
Introduction tral with regard to jurisdictionalFractures of the pelvic ring are common in high-energy blunt trauma, mostly in road traffic accidents
In high-energy blunt trauma, pelvic ring fractures are rarely isolated, but they are often associated with injuries of other organs: brain, lung, spleen, liver, kidney, long bones, and thoracic aorta [4,5]
Many classifications of pelvic ring fractures have been proposed with the aim of guiding treatment and determining prognosis
Summary
Fractures of the pelvic ring are common in high-energy blunt trauma, mostly in road traffic accidents. In polytrauma patients, these fractures, especially when unstable, cause intrapelvic vascular and visceral injuries, and are associated with a high mortality rate. Injuries of the other body systems (brain, chest, upper abdomen) are often associated with pelvic ring fractures. Starting from the description of the relevant anatomy and biomechanics of the bony pelvis, this review aims to describe the main classifications of pelvic ring fractures (with a particular focus on the Young and Burgess one) and the most common intrapelvic vascular and visceral related complications.
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