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Published on: November 8, 2024
Transverse sacral fractures with anterior displacement
George S Sapkas1, Andreas F Mavrogenis1, Panayiotis J Papagelopoulos2
1First Department of Orthopaedics, Athens University Medical School, 4 Christovassili Street, Neo Psychikon, 15451, Athens, Greece.
Summary
Transverse sacral fractures with anterior displacement are rare, often causing severe neurological deficits. Surgical intervention showed rewarding, though variable, neurological recovery in patients with these injuries.
Area of Science:
- Orthopedics
- Neurosurgery
- Trauma Surgery
Background:
- Transverse sacral fractures with anterior displacement are exceptionally rare.
- These injuries are typically associated with high-energy trauma, such as suicide jumps.
- They frequently result in significant neurological deficits, including bowel, bladder, and lower extremity dysfunction.
Purpose of the Study:
- To evaluate the diagnostic methods, treatment strategies, and clinical outcomes for patients with transverse sacral fractures and anterior displacement.
Main Methods:
- A clinical study involving six patients with transverse sacral fractures and anterior displacement.
- Diagnosis was confirmed through imaging.
- All patients underwent operative treatment, including lumbosacral laminectomies and spine instrumentation with fusion.
Main Results:
- Five out of six patients received prompt diagnosis.
- All patients presented with severe neurological deficits (bowel/bladder dysfunction, perineal anesthesia, lower extremity deficits).
- Neurological recovery varied: complete in one, incomplete in four, and none in one patient. Fracture reduction was often suboptimal, but long-term outcomes were rewarding.
Conclusions:
- Transverse sacral fractures with anterior displacement are rare but devastating injuries.
- Prompt diagnosis and surgical management, including laminectomy and spinal fusion, are crucial.
- Despite challenges in fracture reduction, surgical intervention can lead to rewarding neurological improvement and functional recovery.
