Nov 26, 2023 · Sacral fractures are common pelvic ring injuries that are under-diagnosed and often associated with neurologic compromise. Diagnosis can made with pelvis radiographs but frequently require pelvic CT scan for full characterization.

Sacral fractures are a heterogeneous group of fractures occurring in young people following road traffic accidents and falls from height, or in the elderly with osteoporosis following trivial trauma. This heterogeneity, combined with the low ...

Mar 30, 2023 · A sacral fracture can cause symptoms including lower back and buttock pain, swelling, and reduced bowel and bladder control. Although it is possible to fracture only the sacrum, most sacral ...

In elderly, frail patients, bilateral sacral fractures may be managed with 6 weeks of non-weight bearing, followed by progressive weight bearing but attention to anticoagulation is critical as these patients are very prone to venous thrombosis.

Sep 4, 2023 · Less than 5% of sacral fractures occur as isolated injuries, often resulting from a direct blow or fall onto the sacrum. Because of the location of the lumbosacral plexus with respect to the sacrum, 25% of sacral fractures are associated with a neurologic injury.

Injuries most often associated with sacral fractures include neurologic injuries (present in up to 50% of sacral fractures), pelvic ring disruptions, hip and lumbar spine fractures, active pelvic/ abdominal bleeding and the presence of an open fracture or significant soft tissue injury.

Aug 17, 2024 · There are several classification systems for sacral fractures, but the most commonly employed are the Denis classification and subclassification systems, and the Isler classification system. These classification systems are important to understand as proper classification can impact management. AO classification of sacral injuries.

Forty-seven patients had bilateral sacral ala fractures, and 41 of these (87%) had a transverse component indicating some degree of lumbopelvic instability. The presence of bilateral sacral fractures was 100% sensitive and 99% specific for lumbopelvic instability.

Jul 14, 2023 · A break or a crack in one or more of the sacral vertebrae that make up the sacrum is called a sacral fracture. It can range from minor hairline cracks to severe fractures or cracks. A sacral fracture can occur due to trauma, fall, or accident.

Sacral fractures are often underdiagnosed but are relatively frequent in the setting of pelvic ring injury. Causes include traumatic insults and osteoporosis. Sacral fractures have become more frequent owing to the growth of the elderly population …