![]() Clinical Orthopaedics and Related Research. ^ a b Bydon, Mohamad Fredrickson, Vance Garza-Ramos, Rafael De la Li, Yiping Lehman, Ronald A."Sacral fractures: issues, challenges, solutions". ^ a b Santolini, Emmanuele Kanakaris, Nikolaos K."Sacral Fractures and Associated Injuries". Cumhur Kandziora, Frank Dvorak, Marcel F. Bellabarba, Carlo Firoozabadi, Reza Oner, F. ^ a b c d Rodrigues-Pinto, Ricardo Kurd, Mark F.Zone 3 ( sacral canal), may cause cauda equina syndrome.Zone 2 ( sacral foramina), may cause sciatica.Zone 1 ( ala), may cause disruption to the nerve root of the fifth lumbar vertebra (L5).The location of the fracture has a major influence on symptoms experienced. The Denis Classification System classified sacral fractures into three regions according to the part of the bone affected. Encompassing fatigue and insufficiency fractures, the occurrence. ![]() Rarely, they may occur in young women during the last trimester of pregnancy or a few weeks after delivery. The management may or may not include surgery. Sacral stress fractures are an unusual but curable cause of low-back pain that should be considered in differential diagnosis, particularly in elderly osteoporotic patients. It was easy to lay hold of the bleeding vessel with the forceps. Īs with other types of fractures, osteoporosis is a risk factor. I also found the edge of the sacrum broken, and removed some splinters of bone from it. This makes them difficult to diagnose and treat. Furthermore, 23 patients had acute pelvic fragility fractures identified on CT or MRI, in the presence of normal X-rays. They are heterogenous (which means the bone can break in several different places, in several different ways) and almost always appear together with other injuries. Overall, 53 of patients who received further imaging were diagnosed with a combined fracture of the public ramus and sacrum, and 9 (n1) with a combined fracture of the pubic ramus and the ilium. They tend to be caused by high-energy trauma, for example in road traffic accidents or in falls. Sacral fractures are relatively uncommon. The sacrum is the large triangular bone that forms the last part of the vertebral column from the fusion of the five sacral vertebrae. Few large-scale studies have addressed postoperative complications or long-term results, but current evidence suggests that although fusion rates are high, long-term morbidity, such as residual pain and neurological deficits, persists for many patients.In this picture of the pelvis, the sacrum is the butterfly-shaped bone in the middle Lateral view of the sacrum and the coccyxĪ sacral fracture is a break in the sacrum bone. Due to the complex nature of these injuries, surgical management remains a challenge for the attending surgeon. In this article, the authors conducted a comprehensive literature review on the epidemiology of sacral fractures, relevant anatomy of the sacral and pelvic region, common sacral injuries and fractures, classification systems of sacral fractures, and current management strategies. Sacral insufficiency fractures may not be seen on regular x-rays but typically show up on MRI or CT scans of the pelvis. Depending on the fracture location, neurological injury may be present in over 50% of cases. Few large-scale studies have addressed postoperative complications or long-term results, but current evidence suggests that although fusion rates are high, long-term morbidity, such as residual pain and neurological deficits, persists for many patients.ĪB - Sacral fractures are uncommon lesions and most often the result of high-energy trauma. In this article, the authors conducted a comprehensive literature review on the epidemiology of sacral fractures, relevant anatomy of the sacral and pelvic region, common sacral injuries and fractures, classification systems of sacral fractures, and current management strategies. N2 - Sacral fractures are uncommon lesions and most often the result of high-energy trauma.
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