title: Sacral fractures.
abstract: Sacral fractures are uncommon lesions and most often the result of high-energy trauma. Depending on the fracture location, neurological injury may be present in over 50% of cases. In this article, the authors conducted a comprehensive literature review on the epidemiology of sacral fractures, relevant anatomy of the sacral and pelvic region, common sacral injuries and fractures, classification systems of sacral fractures, and current management strategies. Due to the complex nature of these injuries, surgical management remains a challenge for the attending surgeon. Few large-scale studies have addressed postoperative complications or long-term results, but current evidence suggests that although fusion rates are high, long-term morbidity, such as residual pain and neurological deficits, persists for many patients.
authors: Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland;
authors: Mohamad
authors: M
authors: Bydon
authors: Vance
authors: V
authors: Fredrickson
authors: Rafael
authors: R
authors: De la Garza-Ramos
authors: Yiping
authors: Y
authors: Li
authors: Ronald A
authors: RA
authors: Lehman
authors: Gregory R
authors: GR
authors: Trost
authors: Ziya L
authors: ZL
authors: Gokaslan
mesh_terms: D000328:Adult; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D016103:Spinal Fractures / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: instrumentation; outcomes; review; sacral fracture