What is the treatment for pediatric symphysis pubis separation (pubic symphysis diastasis)?

From the Research

Treatment Options for Pediatric Symphysis Pubis Separation

There are various treatment options for pediatric symphysis pubis separation, including:

• Conservative management: This is often the first line of treatment and may include bed rest, pain management, and physical therapy 1, 2, 3, 4.
• Orthopedic surgical intervention: This may be indicated in more severe or unresolved cases, and can include external or internal fixation 1, 3, 4.
• Minimally invasive treatment: This is a trend in the treatment of pubic symphysis diastasis, and can include percutaneous cannulated screw fixation 5.
• Surgical stabilization: This may be necessary for women who do not respond to conservative therapy or who have large separations 3.

Factors to Consider in Treatment

When considering treatment for pediatric symphysis pubis separation, the following factors should be taken into account:

• Severity of the separation: Widening of the pubic symphysis greater than 10 mm is considered pathologic 3.
• Presence of complications: Such as hematomas, pelvic fractures, sacroiliac joint disruption, and urinary tract injury 1.
• Patient's overall health: And ability to tolerate surgery or conservative management 1, 4.
• Risk of recurrence: Symphyseal diastasis can recur in subsequent pregnancies 2.

Treatment Outcomes

The outcomes of treatment for pediatric symphysis pubis separation can vary, and may include:

• Successful recovery with conservative management 2, 4.
• Need for surgical intervention due to insufficient conservative treatment 4.
• Risk of postoperative complications following surgical treatment 4.
• Recurrence of symptoms in subsequent pregnancies 2.