Table 1 Demographics, clinical presentation and outcome of pediatric pelvic fracture based on management
Overall n = 119 | Conservative (n = 96; 80.7%) | Surgery (n = 23; n = 19.3%) | P value | |
|---|---|---|---|---|
Age in years (mean ± SD | 11.5 ± 5.8 | 11.1 ± 5.8 | 13.5 ± 5.5 | 0.06 |
Males % | 93 (78.2%) | 75 (78.1%) | 18 (78.3%) | 0.98 |
Mechanism of injury % | ||||
Motor vehicle crashes | 63 (52.9%) | 46 (47.9%) | 17 (73.9%) | 0.17 for all |
Fall | 15 (12.6%) | 13 (13.5%) | 2 (8.7%) | |
Pedestrian | 28 (23.5%) | 24 (25.0%) | 4 (17.4%) | |
Others | 13 (10.9%) | 13 (13.6%) | 0 (0.0%) | |
Associated injuries % | ||||
Chest | 55 (46.2%) | 49 (51.0%) | 6 (26.1%) | 0.03 |
Spine | 32 (26.9%) | 26 (27.1%) | 6 (26.1%) | 0.92 |
Abdomen | 41 (34.5%) | 34 (35.4%) | 7 (30.4%) | 0.65 |
Head | 29 (24.4%) | 26 (27.1%) | 3 (13.0%) | 0.15 |
Lower extremity | 21 (17.6%) | 17 (17.7%) | 4 (17.4%) | 0.97 |
Injury Severity Score (mean ± SD) | 16.2 ± 11.0 | 15.9 ± 10.5 | 17.0 ± 13.3 | 0.68 |
Revised Trauma Score (mean ± SD) | 7.3 ± 1.2 | 7.3 ± 1.2 | 7.6 ± 0.8 | 0.14 |
Pelvis AIS | 2.2 ± 0.6 | 2.1 ± 0.4 | 2.7 ± 0.9 | 0.001 |
Torode fracture classification % (n = 104) | ||||
Type I | 6 (5.8%) | 6 (6.9%) | 0 (0.0%) | 0.001 for all |
Type II | 14 (13.5%) | 13 (14.9%) | 1 (5.9%) | |
Type III | 71 (68.3%) | 67 (77.0%) | 4 (23.5%) | |
Type IV | 13 (12.5%) | 1 (1.1%) | 12 (70.6%) | |
Acetabular fracture % | 10 (8.4%) | 4 (4.2%) | 6 (26.1%) | 0.001 |
Open triradiate cartilage % | 56 (51.4%) | 49 (56.3%) | 7 (31.8%) | 0.04 for all |
Closed triradiate cartilage % | 53 (48.6%) | 38 (43.7%) | 15 (68.2%) | |
Intubation % | 24 (20.2%) | 21 (21.9%) | 3 (13.0%) | 0.34 |
FAST scan % (n = 109) | 12 (11.0%) | 8 (9.2%) | 4 (18.2%) | 0.22 |
Blood transfusion % | 47 (39.5%) | 34 (35.4%) | 13 (56.5%) | 0.06 |
Number of blood units (median and range) | 3 (1–51) | 4 (1–29) | 2 (1–51) | 0.52 |
Massive blood transfusion % | 8 (6.7%) | 5 (5.2%) | 3 (13.0%) | 0.17 |
In-hospital complications % | ||||
Pneumonia | 8 (6.7%) | 7 (7.3%) | 1 (4.3%) | 0.61 |
Sepsis | 2 (1.7%) | 1 (1.0%) | 1 (4.3%) | 0.26 |
ARDS | 1 (0.8%) | 0 (0.0%) | 1 (4.3%) | 0.43 |
Acute Kidney Injury | 4 (3.4%) | 3 (3.1%) | 1 (4.3%) | 0.77 |
Deep vein thrombosis | 1 (0.8%) | 1 (1.0%) | 0 (0.0%) | 0.62 |
Ventilatory days (median and range) | 7 (1–31) | 6 (1–31) | 7 (3–27) | 0.60 |
ICU length of stay (median and range) | 4 (1–35) | 4 (1–33) | 4.5 (1–35) | 0.93 |
Hospital length of stay (median and range) | 10 (1–85) | 9 (1–85) | 13 (1–74) | 0.17 |
Mortality % | 3 (2.5%) | 2 (2.1%) | 1 (4.3%) | 0.53 |