Background: Pelvic fractures in the pediatric population are infrequent, however are considered a marker of injury severity. Anatomical and physiological differences exist between children and adult pelvic trauma leading to different treatment protocols and prognosis. The purpose of this study was to describe clinical characteristics, radiographic classification and treatment options for pelvic trauma in a pediatric population admitted to a Level 1 Trauma Centre.Methods: We performed a retrospective analysis of the care of patients under 16 age with pediatric pelvic trauma that attended our regional hospital. The data collected includes 10 years of experience between the periods of 2010 and 2020. Information about the mechanism of trauma, clinical presentation, associated injuries; radiological classification, treatment alternatives, and mortality was registered and analyzed.Results: A total of 91 patients were included, with an average age of 9.4 years. A slight predominance for boys was registered (59 men and 32 women) with a ratio of 1.6: 1. The most common trauma mechanism was the traffic accident as a pedestrian (44%) and 65.1% were found to have associated extraskeletal injuries. Blunt abdominal trauma (34.1%) and cranio-encephalic (30.8%) were the most frequent association and 38.5% registered other orthopedic injuries. The vast majority of the fractures were classified as Torode and Zieg type III (61.5%). The mortality rate was 2.2%, all deaths secondary to severe brain injury. Only 5 patients required emergent procedures to control pelvic bleeding. Related to the definitive management, 85.7% of the children were treated by conservative manners.Conclusions: Pelvic fractures in the pediatric population are unusual, the mortality rate is low, however, a high rate of associated injuries, extraskeletal and orthopedic, are usually present. Mortality rates in this context are generally related to associate viscera trauma. The Torode and Zieg classification, although it is the most used, presents significant weaknesses in the categorization of patients when defining definitive management and prognosis.