الفهرس 
Pelvic disruptions occurring in childrenOnly 14 pages are availabe for public view
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Abstract
The pelvic ring is formed of two innominate bones (which are formed, at maturity, by union of the ilium, ischium and pubis through the triradiate cartilage) and the sacrum.
These bones are joined posteriorly by right and left sacroiliac joints and anteriorly by symphysis pubis.
Ligaments of pelvic ring are important as a connection between the spinal column and pelvic ring as well as to connect parts of pelvic ring. These ligaments are anterior, posterior and interosseous Sacroiliac ligaments, sacrotuberous, sacrospinous and ligaments of symphysis pubis.
Soft tissue structures at risk in pelvic fractures include urinary bladder, urethra, male and female reproductive systems, rectum, internal iliac artery and its branches and lumbosacral plexus of nerves.
Surgical approaches to reach different parts of pelvis include: ilioinguinal approach (Judet and Letournel approach 1964 and Ruedi approach 1984), anterior iliofemoral approach, modified ilioinguinal approach, direct approach to ilium, pfannenstiel approach to symphysis pubis and posterior, anterior approaches to sacroiliac joints and percutaneous approaches.
The entire stability of pelvic ring is dependant upon the integrity of the surrounding soft tissues specially the ligaments.
The ring cannot be disrupted and displaced in one portion without the ring being involved in another portion (Tile 1984).
Pelvic stabilizing structures include symphysis pubis and its ligaments, sacroiliac joints and their ligaments, sacrospinous and sacrotuberous ligaments.
Symphysis pubis, sacrospinous ligament and anterior sacroiliac ligaments prevent external rotation of the hemipelvis.
Sacrotuberous ligament and posterior sacroiliac ligamentous complex prevent displacement in vertical plane.