IS POSTERIOR-ONLY RIGID FIXATION AN EFFICIENT OPTION FOR THE TREATMENT OF UNSTABLE LATERAL COMPRESSION PEDIATRIC PELVIC FRACTURES?

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

1 Orthopedic Surgery dept., Faculty of Medicine, Suez Canal Univ., Ismailia, Egypt

2 Orthopedic Surgery dept., Nasr City Police Hospital, Cairo, Egypt

3 Orthopedic Surgeon, Ministry of Health and Population, Cairo, Egypt

Abstract

Background: Pediatric pelvic fractures (PPF) are rare injuries and usually resulted from high-energy
mechanisms. Unstable lateral compression fractures may leave permanent deformity with pelvic asymmetry.
The purpose of this study was to evaluate the safety and efficacy of rigid posterior fixation for treatment
of unstable lateral compression pelvic fractures in children. Methods: A retrospective case series of 13
patients with unstable lateral compression pelvic fractures. All cases were treated in a university hospital
between January 2013 and May 2020. Inclusion criteria were: all patients under 16 years old, hemodynamically stable and who were treated posteriorly using rigid posterior fixation with a minimum followup of 12 months. Assessment was done clinically utilizing Majeed score and radiologically utilizing Matta
score. Results: There were 8 boys and 5 girls with a mean age of 9.5 ± 4 years. There were 8 children
with an immature pelvis. The most common causes of injury were motor car accident (61.5%). The interval
from injury to surgery was 2-11 days with a mean of 6 ± 2 days. The mean intraoperative time was 81.9 ±
18.3 minutes with a mean operative blood loss of 113.9 ± 48 ml. According to the Matta and Tornetta
score; the reduction was rated excellent in 10 patients and good in 3 patients. According to the Majeed
score, the outcome was rated excellent in 11 patients and good in 2 patients. Conclusion: Posterior-only
rigid fixation by interfragmentary intrailiac screws and plates is a safe and effective method for treatment
of unstable lateral compression fractures in children.

Keywords

Egyptian Journal of Orthopedic Research
Volume 3, Issue 2
December 2022
Pages 71-77

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