Relationship between The YoungBurgess Classification System of Pelvic Fractures and Mortality and MorbiditySelim Turfan1, Umut Y. Çavuş2, Mahmut N. Aytekin3, Serhat Ünlü4, Fatih Büyükcam2
1Department of Emergency Medicine, Giresun State Hospital, Giresun, Turkey.
2Department of Emergency Medicine, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
3Department of Orthopedics and Traumatology, Yıldırım Beyazıt University Atatürk Training and Research Hospital, Ankara, Turkey.
4Department of Orthopedics and Traumatology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
This study aimed to investigate the relationship between the YoungBurgess classification (YBC) system and mortality and morbidity. Keywords: Bone, injuries, multiple trauma, fractures, pelvic bones, pelvis, traumatology
A total of 50 cases of pelvic fracture in patients who were admitted to our emergency department between January 01, 2011, and February 26, 2012, were scanned. The fractures were classified according to the YBC system based on plain graphs and tomography results for a more objective classification.
The total mortality rate was 10%. No relationship was found between the YBC groups and mortality. The relationship between the YBC types and erythrocyte transfusion requirement was statistically significant. The fracture types were classified into two groups: stable [lateral compression type 1 (LC-1) and anteriorposterior compression (APC) type 1] and unstable [LC-2-, LC-3, APC-2, APC-3, vertical shear, and combined mechanism of injury]. The erythrocyte transfusion requirements were found to be significantly higher in the unstable group. Similarly, LC-2 showed higher erythrocyte transfusion requirements compared with LC-1. No relationship was observed between the groups and headchestabdomenspine injuries. The mortality was higher in the unstable group than in the stable group, although the difference was not statistically significant.
The YBC system is useful to understand the pelvic fracture type, despite no relationship between the different types of fracture and mortality and morbidity. The present results indicated the need for a new system for the classification of pelvic fractures.
Selim Turfan, Umut Y. Çavuş, Mahmut N. Aytekin, Serhat Ünlü, Fatih Büyükcam. Relationship between The YoungBurgess Classification System of Pelvic Fractures and Mortality and Morbidity. Med J Islamic World Acad Sci. 2016; 24(3): 89-93
Corresponding Author: Selim Turfan, Türkiye