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Sacral fractures.

H H Schmidek, D A Smith, T K Kristiansen

    Neurosurgery
    |November 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Sacral fractures, often complex and associated with neural deficits, are common in trauma. Understanding sacropelvic stability is crucial for managing these injuries and pelvic trauma.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Trauma Surgery

    Background:

    • The sacral spine is underrepresented in medical literature.
    • Sacral fractures and associated neural deficits are common and complex trauma issues.
    • The sacrum and pelvis function as a unit, impacting stability.

    Purpose of the Study:

    • To review sacral fracture classification and neurological involvement.
    • To correlate vertical sacral fracture types with pelvic injuries.
    • To examine investigation and treatment options for sacral fractures.

    Main Methods:

    • Review of sacral fracture classification.
    • Analysis of institutional case series.
    • Correlation of fracture types with pelvic injuries.

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  • Review of radiographic and physiological investigations.
  • Review of reduction, decompression, and stabilization techniques.

    • Main Results:

    • Vertical sacral fractures correlate with specific pelvic injury patterns.
    • Common patterns of neurological involvement exist.
    • Various investigation and treatment options are available.

    Conclusions:

    • Sacral fractures require greater attention due to their frequency and complexity in trauma.
    • Understanding sacropelvic stability is vital for managing sacral and pelvic injuries.
    • Appropriate classification, investigation, and treatment are essential for optimal outcomes.