title: Surgical treatment in sacral fractures and traumatic spinopelvic instabilities.
abstract: OBJECTIVE
  Sacral fractures are generally seen together with pelvic ring fractures. They can also develop in isolated form rarely. Instability is observed in these fractures in rates reaching 30%.
  
  
  METHODS
  Spinopelvic stabilization was applied to 10 cases with pelvic fractures together with sacral fractures and spinopelvic instability. Two cases were treated with adductive screws extending from the iliac wing to the sacrum, 5 cases with standard lumboiliac instruments and 3 cases were treated with iliac wing plates that are our own design. The cases were evaluated according demographic data, VAS, ASIA and Oswestry scores and the types of the trauma and fracture.
  
  
  RESULTS
  Six cases had unilateral sacroiliac instability while the instability was bilateral in 4 cases. Follow-up periods range between 6 and 91 months. Preoperative VAS was 8.4, Oswestry mean value was 91.2, postoperative late VAS was 2.2, and Oswestry was 24.4.
  
  
  CONCLUSIONS
  Serious spinopelvic instability can be talked of in sacral fractures accompanied by pelvic fractures, particularly when the anterior and posterior integrity of the pelvic ring is interrupted together. An aggressive stabilization and fixation must be performed without delay.
authors: Neurospinal Academy, Department of Neurosurgery, Istanbul, Turkey.
authors: Sedat
authors: S
authors: Dalbayrak
authors: Onur
authors: O
authors: Yaman
authors: Murat
authors: M
authors: Ayten
authors: Mesut
authors: M
authors: Yilmaz
authors: Ali Fahir
authors: AF
authors: Ozer
mesh_terms: D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000601:surgery*; D008160:Lumbosacral Plexus / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010147:Pain Measurement; D010388:Pelvis / Q000293:injuries* / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D012446:Sacroiliac Joint / Q000293:injuries / Q000601:surgery; D016103:Spinal Fractures / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult