Pelvic fracture management in pregnancy. Case report

Authors

  • Carlos Almeida Herdoíza Hospital Vozandes. Quito, Ecuador
  • Edgar Barros Prieto Hospital Vozandes. Quito, Ecuador

DOI:

https://doi.org/10.1016/j.rccot.2015.10.003

Keywords:

pregnancy, pelvic ring fracture, sacroiliac fixation, blunt trauma

Abstract

Currently traffic accidents and high-energy trauma are primarily responsible for pelvic ring fractures in the general population. When a pelvic fracture occurs in a pregnant woman, both fetal and maternal morbidity and mortality increases. There are few reports of management of pelvic fractures during pregnancy because of its low incidence. However, most cases of pelvic fractures in pregnant women have a fatal outcome for both mother and fetus. We report the case of a 36 years old pregnant woman that having 31 weeks of gestation, suffering traffic accident, which generates an unstable pelvic ring fracture which was managed surgically with open and percutaneous techniques, with favorable outcome.
Evidence level: IV. Case report.

Downloads

Download data is not yet available.

Author Biographies

Carlos Almeida Herdoíza, Hospital Vozandes. Quito, Ecuador

Médico tratante de Ortopedia y Traumatología, Servicio de Traumatología, Hospital Vozandes, Quito, Ecuador.

Edgar Barros Prieto, Hospital Vozandes. Quito, Ecuador

Jefe del Servicio de Ortopedia y Traumatología, Hospital Vozandes, Quito, Ecuador.

References

Furey A, O'Toole R, Nascone J, Sciadini M, Copeland C, Turen C. Classification of pelvic fractures: analysis of inter- and intraobserver variability using the Young-Burgess and Tile classification systems. Orthopedics. 2009;32:401. https://doi.org/10.3928/01477447-20090511-05

Ahmadi A, Fakheri T, Amini-Saman J, Amanollahi O, Mordi M, Nasrabadi MA, et al. Traumatic injuries in pregnant women: a case of motor vehicle accident for Ground Round discussion. J Inj Violence Res. 2011;3:55-9. https://doi.org/10.5249/jivr.v3i1.28

Almog G1, Liebergall M, Tsafrir A, Barzilay Y, Mosheiff R. Management of pelvic fractures during pregnancy. Am J Orthop (Belle Mead NJ). 2007;36(11):E153-9.

Committee on Trauma, American College of Surgeons. ATLS-Soporte Vital Avanzado en Trauma para Médicos, 8.a ed. Chicago: American College of Surgeons, 2008; 276-86.

AO/OTA. Pelvis J Orthop Trauma. 2007;21(Suppl). Disponible en: http://ota.org/media/23066/97042.7Pelvis-S59-S67.pdf. https://doi.org/10.1097/00005131-200711101-00007

Dalbayrak S, Yaman O, Ayten M, Yilmaz M, Ozer AF. Surgical treatment in sacral fractures and traumatic spinopelvic instabilities. Turk Neurosurg. 2014;24:498-505. https://doi.org/10.5137/1019-5149.JTN.8980-13.0

Giannoudis PV, Tzioupis CC, Pape H-C, Roberts CS. Percutaneous fixation of the pelvic ring. J Bone Joint Surg (Br). 2007;89-B:145-54. https://doi.org/10.1302/0301-620X.89B2.18551

Kirby M, Spritzer C. Radiographic detection of hip and pelvic fractures in the Emergency Department. AJR. 2010;194:1054-60. https://doi.org/10.2214/AJR.09.3295

Chen PH, Hsu WH, Li YY, Huang TW, Huang TJ, Peng KT. Outcome analysis of unstable posterior ring injury of the pelvis: comparison between percutaneous iliosacral screw fixation and conservative treatment. Biomed J. 2013;36:289-94. https://doi.org/10.4103/2319-4170.112757

Scheyerer MJ, Zimmermann SM, Osterhoff G, Tiziani S, Simmen HP, Wanner GA, et al. Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures. BMC Res Notes. 2014;7:133. https://doi.org/10.1186/1756-0500-7-133

Mardanpour K1, Rahbar M. The outcome of surgically treated traumatic unstable pelvic fractures by open reduction and internal fixation. J Inj Violence Res. 2013;5:77-83. https://doi.org/10.5249/jivr.v5i2.138

Arman C, Naderi S, Kiray A, Aksu FT, Yilmaz HS, Tetik S, et al. The human sacrum and safe approaches for screw placement. J Clin Neurosci. 2009;16:1046-9. https://doi.org/10.1016/j.jocn.2008.07.081

Reuther G, Röhner U, Will T, Dehne I, Petereit U. CT-guided screw fixation of vertical sacral fractures in local anaesthesia using a standard CT. Rofo. 2014;186:1134-9. https://doi.org/10.1055/s-0034-1366605

Suzuki T, Soma K, Shindo M, Minehara H, Itoman M. Anatomic study for pubic medullary screw insertion. J Orthop Surg (Hong Kong). 2008;16:321-5.

Abedzadeh-Kalahroudi M. Approach to trauma during pregnancy. Arch Trauma Res. 2013;2:61-2. https://doi.org/10.1177/230949900801600311

Published

2015-11-25

How to Cite

1.
Almeida Herdoíza C, Barros Prieto E. Pelvic fracture management in pregnancy. Case report. Rev. colomb. ortop traumatol. [Internet]. 2015 Nov. 25 [cited 2024 Jun. 25];29(1):36-40. Available from: https://revistasccot.org/index.php/rccot/article/view/434

Issue

Section

Case report
QR Code
Crossref Cited-by logo

Some similar items: