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Methods

We conducted a retrospective review of admissions to our institution from January 1983 to December 2000.

Results

One hundred twenty children with pelvic fractures were identified. Median age was 9 years (range, 1–16 years) and 66%(n= 80) were boys. Pedestrian–motor vehicle injury accounted for 68%(n= 82) of cases. Associated injuries were present in 78%(n= 94). Management of the pelvic fracture was nonoperative in 113 (94%). Thirty-two children (27%) required surgery for associated injuries. Complications during admission occurred in 28%(n= 34). Five children died as a result of their injuries. With a mean follow-up of 36 months (range, 7–156 months), 27%(n= 32) of children suffered an adverse outcome, including neurologic dysfunction and leg-length discrepancies.

Conclusion

The majority of pelvic fractures in children may be satisfactorily treated nonoperatively. Operative interventions were …