44 | wetenschapsdag 2023 Sessie 1c: We Zullen Doorgaan x5 Auteurs A.H.M. Mennen, A.E Geerlings, M. van Haeringen, J. de Jong, E.M.M. van Lieshout, M.H.J. Verhofstad, M. van Vledder, F.W. Bloemers, D. van Embden Abstract titel The incidence, mortality, and treatment of paediatric pelvic ring fractures in two level 1 trauma centres in the Netherlands Background Paediatric pelvic ring fractures are severe but rare injuries, which makes them challenging to treat. To gain insight into this injury, this study aims to analyse patient characteristics and treatment modalities, and discusses trends in incidence, mortality, and treatment modalities Methods This retrospective cohort study analyses paediatric patients (“18 years) with pelvic ring fractures who were presented between 2001 to 2021 in two major Dutch trauma centres. Data on patient demographics, injury characteristics, treatment, and outcomes were collected and visual trend analysis was performed. Results Overall 157 patients with pelvic ring fractures were included. Visual trend analysis shows a positive trend in the absolute number of patients. The 1-year mortality rate is 11.5%, mostly occurring in the first 48 hours of admission (76%). The mechanism of injury was a traffic accident in 66% of the patients, and the majority had concomitant fractures and injuries (70% and 71% respectively). The majority of the patients was treated non-operatively (60%), and of the surgically treated patients 48% underwent internal fixation without prior external fixation. Although there were no major differences regarding the patient population, there was a disparity in surgical fixation rate between the two hospitals. Conclusion The incidence of pelvic ring fractures in children has increased in absolute numbers over time. The mortality rate is high and mostly caused by severe neurotrauma. Surgical treatment fixation without prior external fixation has become more frequent in recent years. Variation in the treatment between hospitals and different age groups demonstrates a lack of consensus regarding the optimal treatment strategy.
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