Sacral injuries are rare, but most authors believe that sacral fractures are generally underrecognized.
A high degree of suspicion is required to make the diagnosis:
Only 10–30% of sacral fractur...
Traumatic sacral fractures typically occur in the multitrauma patient.
Initial assessment and treatment should proceed as per Advanced Trauma Life Support for patients with suspe...
Acute fracture:
See below for surgical indications.
Stable injuries without neurologic involvement treated with initial bed rest and gradual ambulation and activity advancement as tolerated:
Fr...
Bone density testing or other laboratory evaluation should be considered.
Kuklo TR, Potter BK, Ludwig SC, et al. Radiographic measurement techniques for sacral fractures consensus statement of the Spine Trauma Study Group. Spine (Phila Pa 1976). 200...
Consider sacral injury in any acute injury resulting in other pelvic or spinal injury.
Consider sacral injury in chronic cases of low back, thigh, or buttock pain.
Sacral fractures are t...
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