Allouis M, Bracq H, Catier P, Babut J M
Chir Pediatr. 1981;22(1):43-50.
The rareness of pelvic fractures in children is due to the resilience of bony tissue and to the thickness of the periosteum at this age. Therefore, such fractures are most often seen after violent traumatisms, which explains their frequent association with visceral lesions that determine the gravity and dominate the prognosis. The authors have presented 9 observations of fractures of the pelvis, with or without pelvis dislocation, which were the most often associated with urological lesions either acute (urethral rupture, bladder rupture) neither chronic (hydronephrosis) but sometimes with vasculo-nervous, gynecological or others lesions. The different therapeutic techniques and their indications in the treatment of such fractures are similar to those used in the adult. Excepting those cases of polytraumatisms, where mortality remains elevated, the treatment of such fractures is most often satisfactory in the short term, but requires a thorough and prolonged monitoring in children presenting associated urological and gynecological lesions in order to evaluate with precision the long term prognosis.
儿童骨盆骨折罕见是由于该年龄段骨组织的弹性以及骨膜较厚。因此，此类骨折最常发生于暴力创伤后，这也解释了它们为何常常与决定病情严重程度及主导预后的内脏损伤相关。作者报告了9例骨盆骨折病例，伴或不伴有骨盆脱位，这些病例最常合并急性（尿道破裂、膀胱破裂）或慢性（肾积水）泌尿系统损伤，有时还伴有血管神经、妇科或其他损伤。此类骨折治疗中的不同技术及其适应证与成人所用的相似。除多发伤病例死亡率仍较高外，此类骨折的治疗短期内大多令人满意，但对于合并泌尿系统和妇科损伤的儿童，需要进行全面且长期的监测，以便准确评估长期预后。
