Objective
The objective of this study was to assess the early radiological and functional outcome of either conservatively or surgically treated pediatric pelvic fractures.
Patients and methods
This was a prospective study of pediatric patients with pelvic fractures resulting from high-energy trauma. Management was either conservative or surgical. Score-based functional outcome assessment was done.
Results
A total of 30 patients were enrolled in the study. Of them, 20 patients were managed conservatively and 10 patients were surgically treated. We had three mortality cases. The mean follow-up period was 9 months. Functional outcome score was 74 for conservative and 70 after operative treatment according to Majeed score. Limb-length discrepancy, back pain, skin macerations, infection, and nerve injury were the encountered complications.
Conclusion
Pediatric pelvic fractures classified as Tile A or B can be successfully managed conservatively. All vertically unstable fractures should be reduced and fixed as the pediatric pelvis has a very limited remodeling power for this type of fracture.