Clinical and surgical outcomes of pediatric pelvic fractures: experience from a mass-casualty and routine trauma cohort

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dc.authorid0000-0003-1243-2057
dc.contributor.authorSari, Bedirhan
dc.contributor.authorGokmen, Mehmet Yigit
dc.contributor.authorPazarci, Ozhan
dc.date.accessioned2026-02-03T12:00:27Z
dc.date.available2026-02-03T12:00:27Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground Pediatric pelvic fractures are rare but potentially life-threatening injuries associated with high-energy trauma and complex anatomical considerations. Surgical management is often required, necessitating multidisciplinary care. This study aimed to evaluate the clinical outcomes of surgically treated pediatric pelvic fractures, with special emphasis on earthquake-related injuries. Methods This retrospective, single-center study included 36 pediatric patients (aged 0-17) who underwent surgical treatment for pelvic fractures between January 2021 and October 2024. Demographics, injury mechanisms, fracture types (Torode and Zieg classification), surgical procedures, and short-term outcomes were analyzed. A subgroup comparison was performed between earthquake-related and non-earthquake trauma cases. Results Earthquake-related trauma was the most frequent mechanism (36.1%), followed by motor vehicle accidents (30.6%) and falls from height (25%). Type IVB fractures were the most common (55.6%). Earthquake-related cases showed longer time to surgery (8.5 vs. 2.3 days, p<0.001) and higher postoperative CRP (116.7 vs. 33.2 mg/L, p<0.001). Despite greater injury severity, the majority of patients achieved functional recovery: 63.9% regained full mobility, while 33.3% walked normally with limited running. The overall complication rate was low (16.6%), and no life-threatening events occurred. Hospitalization costs were higher in earthquake cases, driven by Intensive Care Unit (ICU) stay and surgical delay. Conclusion Surgical stabilization of pediatric pelvic fractures achieved favorable short-term outcomes with low complication rates, even in earthquake-related mass-casualty settings. Earthquake cases presented with more severe patterns, longer time to surgery, and greater inflammatory and resource burdens, underscoring the need for rapid triage, coordinated multidisciplinary care, and early mobilization despite operational constraints. These findings argue for disaster-ready pediatric trauma systems and merit validation in prospective multicenter cohorts with long-term functional and economic endpoints.
dc.identifier.doi10.1186/s13018-025-06498-1
dc.identifier.issn1749-799X
dc.identifier.issue1
dc.identifier.pmid41316261
dc.identifier.scopus2-s2.0-105023333951
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1186/s13018-025-06498-1
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34617
dc.identifier.volume20
dc.identifier.wosWOS:001652244200008
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofJournal of Orthopaedic Surgery and Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectPelvis
dc.subjectPediatrics
dc.subjectBone fracture
dc.subjectSurgical procedure
dc.subjectEarthquakes
dc.subjectMass casualty incident
dc.subjectRehabilitation
dc.titleClinical and surgical outcomes of pediatric pelvic fractures: experience from a mass-casualty and routine trauma cohort
dc.typeArticle

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