Sacral Fractures: A Review

被引：2
作者：
Barber, Lauren A. [1 ]
Katsuura, Yoshihiro [2 ]
Qureshi, Sheeraz [1 ,3 ,4 ]
机构：
[1] Emory Spine Ctr, Atlanta, GA USA
[2] Adventist Hlth Howard Mem Hosp, Willits, CA USA
[3] Weill Cornell Med, Dept Orthopaed Surg, Hosp Special Surg, New York, NY USA
[4] Weill Cornell Med, Hosp Special Surg, Dept Orthopaed Surg, 535 70th St, New York, NY 10021 USA
来源：
HSS JOURNAL | 2023年 / 19卷 / 02期
关键词：
sacrum; insufficiency fractures; sacral dysmorphism; sacral fracture classification; triangular osteosynthesis; ILIOSACRAL SCREW FIXATION; PELVIC RING FRACTURES; INSUFFICIENCY FRACTURES; FRAGILITY FRACTURES; NEUROLOGICAL INJURY; LUMBOSACRAL FUSION; INTERNAL-FIXATION; OPEN REDUCTION; RISK-FACTORS; CLASSIFICATION;
D O I：
10.1177/15563316221129607
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
At the cornerstone of the pelvis and spine, the sacrum may be fractured in patients of all ages. Sacral fractures range from high-energy injuries, with mortality rates of up to 18%, to low-energy insufficiency fractures. The intricate geometry of the sacrum, the breadth of morphotypes, and the presence of congenital anomalies all can complicate the treatment of these fractures. Agreement on the surgical indications for these injuries is limited. This narrative review aims to update orthopedic surgeons on the clinical evaluation and the non-surgical and surgical management of these fractures.
引用
收藏
页码：234 / 246
页数：13
相关论文
共 69 条
  • [1] Biomechanical investigation of four different fixation techniques in sacrum Denis type II fracture with low bone mineral density
    Acklin, Yves P.
    Zderic, Ivan
    Richards, Robert G.
    Schmitz, Paul
    Gueorguiev, Boyko
    Grechenig, Stephan
    [J]. JOURNAL OF ORTHOPAEDIC RESEARCH, 2018, 36 (06) : 1624 - 1629
  • [2] Functional Outcome 10 Years After Surgical Treatment of Displaced Sacral Fractures
    Adelved, Aron
    Totterman, Anna
    Glott, Thomas
    Madsen, Jan Erik
    Roise, Olav
    [J]. SPINE, 2012, 37 (16) : E1009 - E1016
  • [3] Albert M J, 1993, J Orthop Trauma, V7, P226, DOI 10.1097/00005131-199306000-00005
  • [4] Fixation Techniques for Complex Traumatic Transverse Sacral Fractures
    Bederman, S. Samuel
    Hassan, Jeffrey M.
    Shah, Kalpit N.
    Kiester, P. Douglas
    Bhatia, Nitin N.
    Zamorano, David P.
    [J]. SPINE, 2013, 38 (16) : E1028 - E1040
  • [5] Bellabarba C, 2016, GLOB SPINE J, V6
  • [6] Complications associated with surgical stabilization of high-grade sacral fracture dislocations with spino-pelvic instability
    Bellabarba, Carlo
    Schildhauer, Thomas A.
    Vaccaro, Alexander R.
    Chapman, Jens R.
    [J]. SPINE, 2006, 31 (11) : S80 - S88
  • [7] Determination of bone density in patients with sacral fractures via CT scan
    Berger-Groch, Josephine
    Thiesen, Darius M.
    Ntalos, Dimitris
    Grossterlinden, Lars G.
    Hesse, Eric
    Fensky, Florian
    Hartel, Maximilian J.
    [J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2018, 104 (07) : 1037 - 1041
  • [8] Bilateral Sacral Ala Fractures Are Strongly Associated With Lumbopelvic Instability
    Bishop, Julius A.
    Dangelmajer, Sean
    Corcoran-Schwartz, Ian
    Gardner, Michael J.
    Routt, Milton L. Chip, Jr.
    Castillo, Tiffany N.
    [J]. JOURNAL OF ORTHOPAEDIC TRAUMA, 2017, 31 (12) : 636 - 639
  • [9] BONNIN JG, 1945, J BONE JOINT SURG, V27, P113
  • [10] Sacral insufficiency fractures after lumbosacral arthrodesis: salvage lumbopelvic fixation and a proposed management algorithm
    Buell, Thomas J.
    Yener, Ulas
    Wang, Tony R.
    Buchholz, Avery L.
    Yen, Chun-Po
    Shaffrey, Mark E.
    Shaffrey, Christopher I.
    Smith, Justin S.
    [J]. JOURNAL OF NEUROSURGERY-SPINE, 2020, 33 (02) : 225 - 236
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