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Related Experiment Video

Updated: Feb 25, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Longitudinal Midline Sacral Split Fracture - A Rare Entity.

Sandeep Vijayan1, Viksheth Basani1, Monappa Naik1

  • 1Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal - Udupi, Karnataka, India.

BMJ Case Reports
|July 31, 2017
PubMed
Summary
This summary is machine-generated.

Longitudinal midline sacral fractures are extremely rare and typically cause minimal neurological injury. These fractures are vertically stable, requiring only anterior pelvic ring fixation, preferably with dual plating to maintain reduction.

Keywords:
Accidents, injuriesMusculoskeletal and joint disordersOrthopaedic and trauma surgeryOrthopaedicsTrauma

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Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Pelvic and spinal injuries

Background:

  • Sacral fractures are uncommon injuries affecting the central canal.
  • Transverse sacral fractures are more prevalent and often linked to neurological damage.
  • Longitudinal midline sacral fractures represent an extremely rare subtype.

Observation:

  • Longitudinal midline sacral fractures are associated with anterior pelvic ring fractures.
  • These injuries are characterized by vertical stability.
  • Neurological compromise is minimal or absent in longitudinal midline sacral fractures.

Findings:

  • Fixation of the anterior pelvic ring is the primary treatment for longitudinal midline sacral fractures.
  • Dual plating of the anterior pelvic ring is recommended over single plating.
  • This approach helps prevent gradual loss of reduction.

Implications:

  • Understanding the distinct characteristics of longitudinal midline sacral fractures is crucial for appropriate management.
  • Dual plating techniques can improve outcomes by ensuring stable fixation of the anterior pelvic ring.
  • Further research into optimal fixation strategies for these rare injuries may be warranted.