Patients with a significant enough mechanism of injury to incur a pelvic fracture will often require stabilization and transfer to a regional trauma center. Even when stable, these injuries often require surgical intervention. Definitive treatment with surgical fixation will dictate the need for transfer to a rehabilitation center or home with appropriate support and follow-up. In the instance where there is a GCS score > 13, no pelvic, abdominal, hip, or abdominal complaints, and no tenderness over those aforementioned areas (including the groin), a pelvic x-ray may be foregone and the patient can be discharged home safely with a low risk of pelvic fracture. In cases of a minor pelvic fracture (such as a pubic ramus fracture), discharge home may be possible, in consultation with orthopedic surgery, as long as there is an isolated injury, the fracture is minimally displaced, the patient is reliable and able to ambulate, there is a good support system, and proper follow-up has been arranged.
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