الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 100 |  |  |
| | | from | 100 | | |
Abstract
The pediatric pelvic fracture are rare and account for only 2 to 7.5% of blunt trauma admissions . They occur only as a result of severe trauma , because of the greater plasticity of the pelvic bones and the increased elasticity and flexibility of the symphysis pubis and sacroiliac joints in children. with the severity of the pelvic injury mirroring the severity of the overall injuries. caused by impacting with an automobile, truck, or train; one fell from a roof and also sporting activities account for between 4-11% of pelvic fractures in other series. A multisystem approach to investigations and treatment of pediatric pelvic fracture is essential because of damage to other organ systems determines overall mortality in this patient group. The major consequences of a pelvic fracture, are haemorrhage, shock, and even death; The associatedother injuries are either visceral or skeletal. Open pelvic fractures are associated with a 50% mortality, so early diagnosis and treatment are essential. Due to the anatomical complexity of fractures of the pelvic ring, numerous and confusing systems have been described for classification of these injuries.Classifications have been based on one or more criteria: the location of the fracture; the stability of the fracture or involvement of the weight bearing portion of the pelvic ring, or both; the mechanism of injury and the direction of the force; and whether the fracture is open or closed. The diagnosis of the pediatric fracture depend s on physical and radiological methods. In the prehospital phase, usually at the scene of the accident, priority should be given to the treatment of the airway, breathing, and circulatory (ABC) problems. Inspection of the body surface is the initial step; The anterior surface is examined, contusions, abrasions, and areas of degloving skin. When the inspection is completed, palpation is done to assess bony tenderness, sacroiliac joint tenderness, and the pelvic stability, preferably while the patient is still on the backboard After the inspection and palpation phases are completed, A thorough evaluation of the arterial circulation is made The aim of initial imaging following trauma is to obtain useful , timely information that may influence early management. The essential screening radiographs in the assessment of major adult trauma include the lateral cervical spine view AP chest & AP pelvis. Two additional views are indicated if a fracture of the AP pelvic ring is identified on the initial radiograph ”Inlet & Outlet ,These three radiographs can help determine the mechanism of injury and the form of treatment of most fracture. Computed tomography (CT) of the pelvis is indicatedas Sacral fractures and SI joint injuries are frequently missed with standard radiographic technique. The Treatment received in the “golden hours” immediately following the accident has an effect not only on short-term survival but also on entire recovery and long-term functional outcome. Because of the simple fractures of pelvic ring predominate and most do not require surgical management as they are usually non-displaced fractures. Only displaced fractures require surgical reduction and stabilization despite non-operative management of a majority of cases. Authors expressed concern that life-threatening complications associated with other body-area injuries may overshadow proper fracture management. Generally , conservative and operative approaches to treatment have to be distinguished . Bed rest , traction, pelvic sling, and spica cast immobilization are the most common forms of conservative treatment. On follow-up at maturity, two thirds of patients with serious pelvic displacement have no significant functional disability, and half have normal radiographs to accompany this result. One third have residual limping and pain and have had to alter their activities.