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Updated: Jun 29, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

[Complex sacral fracture treated with dynamic compression plates; a case report].

Arturo Alfredo Molina Guzmán¹, María Teresa González Miranda, Omar Alejandro Aranda Esquivel

¹Departamento de Ortopedia y Traumatología, Centenario Hospital Miguel Hidalgo, Galeana Sur Núm. 465, Col. El Obraje, Aguascalientes, C.P. 20230. omararanda@msn.com

Acta Ortopedica Mexicana

|October 2, 2008

Summary

Transverse sacral fractures are rare, high-energy injuries often causing neurological deficits. Surgical intervention in this case led to improved mobility and neurological function, highlighting the importance of timely treatment for these complex fractures.

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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Spinal Surgery

Background:

Sacral fractures represent less than 1% of all spinal fractures, with vertical fractures being more common.
Transverse sacral fractures, particularly those in Denis's area III, are infrequent and frequently associated with neurological deficits (57%) due to high-energy trauma.
Delayed diagnosis and treatment of sacral fractures can result in neurological deterioration and persistent pain.

Observation:

A 16-year-old male sustained a high-energy injury resulting in a displaced transverse fracture at the S2 level, accompanied by an inability to walk and urinary retention.
The patient underwent surgical treatment, including open reduction, laminectomy, and fixation with a dynamic compression plate (DCP).

Findings:

Post-operatively, the patient demonstrated significant improvement, regaining the ability to walk with partial support within six weeks.

Related Experiment Videos

Last Updated: Jun 29, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Restoration of neurological function, including strength and sphincter control, was observed following surgical stabilization.

Implications:

Transverse sacral fractures are uncommon, and limited experience exists even in trauma centers, with no established consensus on conservative versus surgical management.
Surgical stabilization must carefully weigh the risks of neurological injury against the benefits of fracture site stability.
This case underscores the potential for successful surgical outcomes in managing complex transverse sacral fractures with associated neurological deficits.