OKOJ, Volume 15, No. 9

Surgical management of pelvic fractures can be difficult because of the various associated injuries that can occur. The goal of treatment is to prevent malunion and avoid complications such as intraoperative hemorrhage and wound infection.

Pelvic fractures can result from low- or high-energy injuries. The resultant disruption of the pelvic ring can cause severe disability. A successful outcome depends on a thorough initial evaluation; treatment options include external fixation and longitudinal traction, pelvic packing, and angiographic embolization.

The incidence of spinal cord injury is decreasing; however, improved understanding of the pathophysiology behind the condition and early treatment principles is important to maximize patient outcomes.