Functional Outcomes of Pediatrics and Adolescent Pelvic Fractures: A Systematic Review.
Vincent Buckman, Patrick Sun, Jeffrey Blibo et al.
✦ AI-curated · Sources linked
In 30 seconds
This Level III systematic review assessed functional and structural outcomes after pelvic fractures in children and adolescents, drawing on 14 retrospective and prospective cohort studies and case series (n=731). Across studies reporting function, more than 90% of patients regained independent ambulation and returned to activities of daily living, regardless of fracture stability or management strategy. Pelvic asymmetry was the most frequently reported structural complication, occurring in 22 of 253 patients (8.7%). The authors concluded that outcomes were generally favorable when management was matched to fracture stability.
Key findings
- More than 90% of patients regained independent ambulation and returned to activities of daily living across reporting studies.
- Pelvic asymmetry occurred in 22 of 253 patients (8.7%), the most frequently reported structural complication.
- Limb length discrepancy occurred in 23/333; 6.9%, acetabular dysplasia in 3/178; 1.7%, and nonunion in 6/549; 1.1%.
Why it matters
The review suggests that most children and adolescents recover basic mobility and daily function after pelvic fracture, while structural complications are less common but remain relevant. Considering both fracture stability and potential complications can help frame management decisions. The findings also highlight that functional recovery and radiologic or structural outcomes are distinct measures.
What to keep in mind
The review included heterogeneous retrospective and prospective cohorts and case series, rather than a uniform body of high-level comparative evidence; functional outcomes were reported across studies, and pooled analyses were feasible only for some outcomes.