Pelvic trauma: WSES classification and guidelines

Table 2 WSES pelvic injuries classification (*: patients hemodynamically stable and mechanically unstable with no other lesions requiring treatment and with a negative CT-scan, can proceed directly to definitive mechanical stabilization. LC: Lateral Compression, APC: Antero-posterior Compression, VS: Vertical Shear, CM: Combined Mechanism, NOM: Non-Operative Management, OM: Operative Management, REBOA: Resuscitative Endo-Aortic Balloon)

	WSES grade	Young-Burgees classification	Haemodynamic	Mechanic	CT-scan	First-line Treatment
MINOR	WSES grade I	APC I – LC I	Stable	Stable	Yes	NOM
MODERATE	WSES grade II	LC II/III - APC II/III	Stable	Unstable	Yes	Pelvic Binder in the field ± Angioembolization (if blush at CT-scan) OM – Anterior External Fixation *
MODERATE	WSES grade III	VS - CM	Stable	Unstable	Yes	Pelvic Binder in the field ± Angioembolization (if blush at CT-scan) OM - C-Clamp *
SEVERE	WSES grade IV	Any	Unstable	Any	No	Pelvic Binder in the field Preperitoneal Pelvic Packing ± Mechanical fixation (see over) ± REBOA ± Angioembolization

ISSN: 1749-7922