Avtor/Urednik		Schellander, Roman; Schwarz, Nikolaus
Naslov		Conservative treatment of unstable pelvic ring fractures in children below the age of 13
Tip		članek
Vir		In: Cimerman M, Herman S, Tonin M, editors. Trauma of the pelvis and acetabulum. Proceedings of the international symposium and workshop; 2000 May 11-13; Ljubljana. Ljubljana: University medical centre, Department of traumatology,
Leto izdaje		2000
Obseg		str. 107-11
Jezik		eng
Abstrakt		17 patients less than 12 years old sustained unstable pelvic ring fractures and were treated non operatively. They were followed for 2 to 25 years. The subjective long term results depended on the presence or obsence of low back pain. This correlated strongly with pelvic asymmetry. 5 patients complained about chronic back pain, 2 were functionally impaired by severe pelvic asymmetry. Healing of an unstable pelvic fracture in malposition with asymmetry causes poor results and must be prevented. Stable pelvic ring fractures treated non-operatively heal perfectly (Nierenberg et al., 1993). In unstable fractures, too, non-operative treatment is often recommended (Lane-OKelly et al.,1995), although the limitations of this therapy are known (Keshishyan et al. 1995) and although there is a paucity of information on the long term results. Nierenberg et al. (1993) suggest an "aggressive conservative approach", doubting that the results of surgery could be superior. This study was aimed at evaluating long-term results of non-operative therapy of unstable pelvic ring fractures in children, the data being used in reconsideration of the therapeutic approach to such fractures.
Deskriptorji		PELVIC BONES FRACTURES FRACTURE FIXATION CHILD TREATMENT OUTCOME