Acta ortopédica mexicana
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Acta ortopédica mexicana · Sep 2010
[Treatment of Torode and Zieg type IV unstable pelvic fractures in children].
Pelvic fractures are infrequent in pediatric patients; they account for 1% of hospital admissions. Acetabular fractures are still more infrequent, but when they are associated, they are life threatening. To distinguish pelvic fractures in children from those in adults, one first needs to know their anatomical differences. The magnitude of the trauma can usually cause injuries in other organs and systems, including the abdominal organs, the genitourinary system, vascular and nerve injuries, etc., as well as long bone, spinal and chest fractures. These injuries may be life threatening and must be treated before the pelvic fracture is addressed. ⋯ According to the results and the patient assessment, we propose that unstable pelvic fractures be managed surgically. The mechanism of injury observed in these patients was not lateral compression, as the literature states, but rather a combined mechanism.