Sacral fractures: An updated and comprehensive review

被引：15

作者：

Gutierrez-Gomez, Santiago ^{[1
,2
,3
]}

Wahl, Lauren ^{[4
]}

Blecher, Ronen ^{[5
]}

Olewnik, Lukasz ^{[6
]}

Iwanaga, Joe ^{[7
,10
]}

Maulucci, Christopher M. ^{[7
]}

Dumont, Aaron S. ^{[7
]}

Tubbs, R. Shane ^{[7
,8
,9
]}

机构：

[1] Pontificia Univ Javeriana, Bogota, Colombia

[2] Ctr Res & Training Neurosurg CIEN, Bogota, Colombia

[3] Samaritan Univ Hosp, Neurosurg, Bogota, Colombia

[4] Univ Colorado, Dept Cell & Dev Biol, Boulder, CO 80309 USA

[5] Swedish Med Ctr, Swedish Neurosci Inst, Seattle, WA USA

[6] Med Univ Lodz, Dept Normal & Clin Anat, Lodz, Poland

[7] Tulane Univ, Sch Med, Tulane Ctr Clin Neurosci, Dept Neurosurg, 1430 Tulane Ave, New Orleans, LA 70112 USA

[8] St Georges Univ, Dept Anat Sci, St Georges, Grenada

[9] Tulane Univ, Sch Med, Dept Struct & Cellular Biol, 1430 Tulane Ave, New Orleans, LA 70112 USA

[10] Kurume Univ, Dept Anat, Div Gross & Clin Anat, Sch Med, Kurume, Fukuoka, Japan

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2021年 / 52卷 / 03期

关键词：

Sacral fractures; Biomechanics; Classification systems; Treatment options;

D O I：

10.1016/j.injury.2020.11.015

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Sacral fractures are often underdiagnosed but are relatively frequent in the setting of pelvic ring injury. Causes include traumatic insults and osteoporosis. Sacral fractures have become more frequent owing to the growth of the elderly population worldwide as osteoporosis is an age-related disease. Misdiagnosed and neglected sacral fractures can result in chronic back pain, spine deformity, and instability. Unfortunately, the wide range of classification systems hinders adequate communication among clinicians. Therefore, a complete understanding of the pathology, and communication within the interdisciplinary team, are necessary to ensure adequate treatment and satisfactory clinical outcomes. The aim of this manuscript is to present the current knowledge available regarding classification systems, clinical assessment, decision-making factors, and current treatment options. (C) 2020 Elsevier Ltd. All rights reserved.

引用

页码：366 / 375

页数：10

共 71 条

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