BACKGROUND: In recent years a wide variety of strategies to treat the haemodynamically unstable @entity1 with pelvic ring @entity174 have been proposed. This study evaluates our institutional management of @entity1 with severe @entity174 and analyses their outcomes. METHODS: Retrospective review of all severely injured @entity130 @entity1 with @entity130 admitted to a level I @entity130 centre from 2007 to 2012. @entity1 records were documented prospectively in a @entity130 database and evaluation was performed by SPSS. RESULTS: During the study period, a total of 173 @entity1 with pelvic ring @entity174 were admitted and formed the basis of this study. Overall, 46% of the @entity1 had suffered a type A @entity174 , 25% a type B @entity174 and the remaining 29% a type C pelvic ring @entity174 . Surgical treatment was required in 21% of the @entity1 (pelvic C-clamp, n = 6; supra-acetabular external fixator, n = 32; pelvic packing, n = 12; definitive plate osteosynthesis of the pubis symphysis, n = 6). @entity887 was performed in 16 @entity1 (9%); in 8 @entity1 it was the only specific treatment for the @entity130 on day 0 and in 8 @entity1 it was performed immediately post-operatively. The overall mortality rate was 12.7% (n = 22), with the type C @entity174 having the highest mortality (30.0%). Four @entity1 died immediately after admission in the shock room. CONCLUSIONS: Angiographic embolization as a first-line treatment was only performed in haemodynamically stable @entity1 or in @entity1 responding to fluid resuscitation with the finding of an arterial blush in the CT scan. In haemodynamically unstable @entity1 , pre-peritoneal pelvic packing in combination with mechanical pelvic stabilization was immediately carried out, followed by angio-embolization post-operatively if signs of persistent @entity548 remained present.

The role of angio-embolization in the acute treatment concept of severe XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture', 'pelvic fractures'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity887 :: ('MESH:D004617', 'Disease') :: ['Angio-embolization'] @entity130 :: ('MESH:D014947', 'Disease') :: ['pelvic ring injuries', 'pelvic injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['pelvic ring injuries']
