Analysis of the cause, classification, and associated injuries of 166 consecutive pediatric pelvic fractures

Pediatric pelvic fractures are serious injuries. Anatomical differences exi st between pediatric and adult populations, leading to different causes and rates of death, fracture patterns, and associated injuries. This study is the largest consecutive series of pediatric pelvic fractures from one insti tution emphasizing the unique aspects seen in pediatrics. One hundred sixty -six children were included. Plain radiography and computed tomography scan s were used to classify pelvic fractures. Multisystem injuries occurred in 60%, and 50% sustained additional skeletal injuries. The death rate was 3.6 %. Head and/or visceral injuries were the causes of all deaths. Life-threat ening hemorrhage did not occur. Urethral injury was not seen as often as in adults. Anterior ring fractures were the most common type, dominated by pe destrian versus motor vehicle trauma. Anatomical differences and mechanism of injury may play a role in these contrasting findings.