Computed Tomography and X-Ray Patterns of Pelvic Fracture in Tikur Anbessa Specialized Hospital in Adults, Addis Abeba University, Addis Abeba ,Ethiopia.
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Date
2019-07
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Addis Abeba University
Abstract
Background
Trauma is a public health burden resulting in increased morbidity, mortality and disability for the
survivors. Musculoskeletal injury results in dramatic, destructing and life-threatening injuries.Of
these pelvic fracture accounts approximately to 3% of the overall injuries and is one of the major
causes of morbidity and mortality.Classification of pelvic fracture is useful in describing injury
and also helps in guiding both the initial treatment and definitive fixation. But pelvic fractures
have presented a great challenge to orthopedic surgeons and radiologists over the years in that
multiple classification system exists to attempt to standardize care and no consensus exists in the
classification method of such fractures. The classification scheme of Young and Burgess and
Tiles described the severity of injury by the mechanistic process involved and by grading the
stability of the injury respectively. However, the most current classification method is that
developed by the AO and OTA and is a composite of these two earlier methods. In addition, an
understanding of the mechanism of injury that leads to pelvic fractures is useful to guide
treatment and understand patterns of injury and cause of mortality.
Objective
The objective of the study is determining the CT and X-ray pattern of pelvic fracture in TASH.
Method
The study is a hospital based retrospective cross sectional study done on 80 patients who have
pelvic ring fracture who have CT scan and Pelvic X-ray (AP, Inlet and outlet views) in the
department of radiology. The CT scan was examined by senior radiology residents and revised
by radiologist, with these finding the Tiles classification of pelvic ring fracture was assessed by
the principal investigator initially by X-ray alone and later by CT scan alone blindly.
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Result
A total of 80 patients with pelvic ring fracture were included in the study of which 58 (72.5%)
were males and 22 (27.5%) were females. Road terrific accident was the major cause of pelvic
fracture accounting for 76.3% of cases followed by fall from a height. Of those involved in RTA
the most affected people were both passengers and pedestrians (30%) each followed by
drivers(16.3%).The most commonly affected age group was those found in between 15-25
years of age (43.8%) and followed by those in between 26-35 years (35%). The most common
pattern of pelvic ring fracture was Tiles B2 (25%) followed by C1 (22.5%) and B3 (20%). Over all
Tiles B accounts 45% and Tiles C accounts 38.8%.
Conclusion
In this study trauma commonly affects males and RTA is the most common type of trauma
causing pelvic ring fracture affecting males in the productive age groups between 15-35 years.
Tiles B pattern of pelvic ring fracture is the most common pattern followed by Tiles C pattern.
Further study is recommended in the value of CT and X-ray in the evaluation of pelvic fracture.
Description
Keywords
Pelvic Fracture