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Related Concept Videos

Fractures: Bone Repair01:27

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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...
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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
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Updated: Feb 21, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Sacral Fractures and Associated Injuries.

Ricardo Rodrigues-Pinto1, Mark F Kurd2, Gregory D Schroeder2

  • 1Centro Hospitalar do Porto, Hospital de Santo António, Porto, Portugal.

Global Spine Journal
|October 10, 2017
PubMed
Summary

Sacral fractures are rare, high-energy injuries often missed and mistreated. Associated injuries, like neurological damage and pelvic disruptions, significantly impact patient outcomes and require careful assessment.

Keywords:
associated injuriesdiagnosismanagementmusculoskeletal injuriesneurologic injuriessacral fracturessystemic injuries

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management
  • Radiology

Background:

  • Sacral fractures are uncommon, high-energy trauma injuries.
  • They are frequently underdiagnosed and mistreated due to their rarity.

Purpose of the Study:

  • To describe injuries associated with sacral fractures.
  • To analyze the impact of these associated injuries on patient outcomes.

Main Methods:

  • Comprehensive narrative literature review.
  • Identification of injuries commonly associated with sacral fractures.

Main Results:

  • Only 5% of sacral fractures occur in isolation.
  • Associated injuries include neurological deficits (up to 50%), pelvic ring disruptions, hip/lumbar spine fractures, bleeding, and open fractures.
  • Prompt assessment of systemic and musculoskeletal injuries is crucial.

Conclusions:

  • Sacral fractures are complex and frequently involve associated, often overlooked, injuries.
  • Management algorithms must consider these associated injuries to optimize patient outcomes.