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Pediatric sacral fractures.

David J Hart1, Michael Y Wang, Pamela Griffith

  • 1Los Angles County/University of Southern California Medical Center, USA. brain_o_matic@hotmail.com

Spine
|March 12, 2004
PubMed
Summary
This summary is machine-generated.

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Pediatric sacral fractures are rare, often resulting from trauma. Most cases do not involve neurologic injury, but diagnosis requires high suspicion and imaging. Further research is needed to correlate fracture types with outcomes.

Area of Science:

  • Orthopedic surgery
  • Pediatric trauma
  • Spine injuries

Background:

  • Sacral fractures in adults are well-documented, but limited data exists for pediatric cases.
  • No systematic studies have applied adult sacral fracture findings to children.

Purpose of the Study:

  • To characterize pediatric sacral fractures epidemiologically, anatomically, and mechanistically.
  • To correlate pediatric sacral fracture characteristics with adult literature and classification systems.
  • To analyze outcomes of pediatric sacral fractures.

Main Methods:

  • Retrospective review of 4876 pediatric trauma cases over 7 years.
  • Identified 8 children with sacral fractures; chart review and follow-up interviews were conducted.

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Main Results:

  • Sacral fractures occurred in 0.16% of pediatric trauma cases, primarily from motor vehicle accidents or falls.
  • Most fractures involved the pelvic rim; Denis Zone I injuries were most common (6/8 patients).
  • One patient with a Denis Zone III injury experienced neurologic deficits and required surgery; others recovered well.

Conclusions:

  • Pediatric sacral fractures are rare but require high clinical suspicion and thorough radiographic evaluation.
  • Similar to adults, most pediatric sacral fractures are not associated with neurologic injury.
  • Larger studies are needed to confirm correlations between specific fracture types and neurologic injury in children.