Surgical Treatment of Unstable Pelvic Ring Injury in a Young Child: A Case Report.

JBJS Case Connector
Adam MargalitPaul D Sponseller

Abstract

We describe an anterior and posterior pelvic ring construct, with emphasis on the posterior construct, to treat a vertical displacement fracture in a 2-year-old girl who was struck by a motor vehicle. Eighteen months after her injury, radiographs showed intact sacroiliac joints and symmetrical pubic symphysis. Although commonly performed in adults, pelvic fixation is challenging in children because of the small size of the child's pelvis and osseous fixation pathways. However, this approach enabled successful vertical stabilization of the pelvis, complete resolution of symphyseal diastasis, and recovery of function and mobility.

References

Nov 1, 1978·Injury·E Letournel
Jan 1, 1987·Journal of Orthopaedic Trauma·N A EbraheimB Holiday
Jan 1, 1985·Journal of Pediatric Orthopedics·I Torode, D Zieg
Oct 2, 1998·Clinical Orthopaedics and Related Research·J TonettiJ P Chirossel
Feb 24, 2001·The Journal of Bone and Joint Surgery. American Volume·P D SponsellerJ P Gearhart
Mar 8, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Candice P HoldenMartin J Herman
Feb 24, 2009·Injury·Sughran BanerjeeJ Mark H Paterson
Jun 5, 2016·Journal of Pediatric Orthopedics·John A ScolaroMilton L Chip Routt
May 16, 2019·JBJS Essential Surgical Techniques·Derek T Nhan, Paul D Sponseller

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