Sacral Fractures (Subscribe)  

Insufficiency fracture is a subgroup of stress fracture. Unlike the other subtype (ie, fatigue fracture), insufficiency fracture is caused by normal or physiologic stress upon weakened bone. Loss of bone trabeculae decreases the bone's elastic resistance.
Awareness is increasing concerning the occurrence of these fractures among older persons. Sites frequently affected...

Case report
The authors describe the case of a patient who sustained a transverse sacral fracture (TSF) associated with a depressed laminar fracture in a personal watercraft accident. The patient underwent early surgery, which allowed a quick recovery. To the best of the authors’ knowledge, the mechanism of injury and type...

Balloon Kyphoplasty for Treatment of Sacral Insufficiency Fractures. Report of Three Cases
Sacral insufficiency fracture is a common and sometimes overlooked cause of debilitating low-back and sacral pain in elderly patients.[5,7] The standard treatment involves prolonged periods of bed rest, which is often in effective and leads to additional complications related...

An extremely rare case of combined transverse and vertical fracture of sacrum with neurological deficit is reported here with a six month follow-up. The patient also had an L1 compression fracture. The patient has recovered significantly with conservative management.
AS Dogra, AR Karkhanis, RV Asurlekar Journal of Postgraduate Medicine 1995 ...

Case report of 26 yr old polytraumatized female. Fracture managed by lumbopelvic stabilization and fusion
Chabra & Agrawal Bombay Hospital Journal Vol 50 No 2 2008 Full text

Efficacy and Safety of Percutaneous Sacroplasty for Painful Osteoporotic Sacral Insufficiency Fractures: A Prospective, Multicenter Trial
Study Design: A prospective observational cohort study of consecutive osteoporotic patients with sacral insufficiency fractures (SIFs).
Objective: Assess the safety and efficacy of sacroplasty in treating osteoporotic SIFs.
Conclusions: Sacroplasty appears to be a safe and effective...

Consensus Statement of the Spine Trauma Study Group Timothy R. Kuklo, MD; Benjamin K. Potter, MD; Steven C. Ludwig, MD; Paul A. Anderson, MD; Ronald W. Lindsey, MD; Alexander R. Vaccaro, MD Published: 05/17/2006
The diagnosis of sacral fractures is frequently missed or delayed, and the treatment is controversial, with significant variations...

Sacral fractures occur in approximately 30% of pelvic ring fractures, but fewer than 5% occur as isolated injuries. Sacral fractures are commonly associated with pelvic fractures and lumbosacral dislocation with facet injury. Most sacral fractures are caused by indirect forces through the pelvis or lumbar spine, but can...

Usually consider sacral fractures in conjunction with pelvic fractures.
Unrecognized and inadequately treated sacral fractures may lead to painful deformity and progressive loss of neurological function.
Delayed surgery for posttraumatic sacral deformity is complex, and the results are often less favourable than after early surgery.
Anatomy; Classification; Injury Patterns; Stability; Clinical; Imaging;...

Most minimally displaced fractures of the sacrum may be safely managed nonoperatively with early weight bearing, said the authors of paper 177 on Thursday, particularly if the fracture is classified as a lateral compression (LC) injury.
Academy News Friday, February 15, 2002

We present a rare case of fracture-dislocation at the level of the first sacral (S1) and second sacral (S2) vertebrae. The S1 was displaced forward into the pelvic cavity and was located just in front of the S2. Because the patient also had extensive neurological injury to the lumbar plexus and instability...

Traumatic transverse fracture of sacrum with cauda equina injury--a case report and review of literature.
Fractures of the sacrum are rare and generally associated with fracture of the pelvis. Transverse fractures of the sacrum are even less frequent and neurological deficit may accompany these fractures. A case of transverse fracture sacrum...