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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...

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Updated: Aug 2, 2025

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

Sacral Fractures: A Review.

Lauren A Barber¹, Yoshihiro Katsuura², Sheeraz Qureshi^1,3

¹Emory Spine Center, Atlanta, GA, USA.

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery

|April 17, 2023

Summary

This summary is machine-generated.

Sacral fractures, from severe trauma to low-energy breaks, affect all ages. This review updates orthopedic surgeons on evaluating and managing these complex pelvic injuries.

Keywords:

insufficiency fractures sacral dysmorphism sacral fracture classification sacrum triangular osteosynthesis

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Area of Science:

Orthopedic Surgery
Trauma Care
Anatomy

Background:

The sacrum, a key bone connecting the pelvis and spine, is susceptible to fractures across all age groups.
Sacral fractures present a spectrum from high-energy trauma with significant mortality to low-energy insufficiency fractures.
Complex sacral anatomy, diverse patient morphotypes, and congenital anomalies complicate fracture management.

Purpose of the Study:

To provide orthopedic surgeons with an updated overview of sacral fracture evaluation.
To review current non-surgical and surgical management strategies for sacral fractures.
To address the limited consensus on surgical indications for sacral injuries.

Main Methods:

This study is a narrative review of existing literature.
The review synthesizes information on clinical evaluation and treatment options.
Focuses on updating orthopedic surgeons' knowledge base.

Main Results:

Sacral fractures are diverse, ranging from high-energy to insufficiency types.
Management is complicated by anatomical intricacies and patient variations.
There is a lack of agreement on surgical indications.

Conclusions:

Effective management of sacral fractures requires a thorough understanding of their complexity.
This review aims to guide orthopedic surgeons in clinical decision-making for these injuries.
Further consensus on surgical indications may improve patient outcomes.