title: The Development of a Universally Accepted Sacral Fracture Classification: A Survey of AOSpine and AOTrauma Members.
abstract: Study DesignSurvey study.ObjectiveTo determine the global perspective on controversial aspects of sacral fracture classifications.MethodsWhile developing the AOSpine Sacral Injury Classification System, a survey was sent to all members of AOSpine and AOTrauma. The survey asked four yes-or-no questions to help determine the best way to handle controversial aspects of sacral fractures in future classifications. Chi-square tests were initially used to compare surgeons' answers to the four key questions of the survey, and then the data was modeled through multivariable logistic regression analysis.ResultsA total of 474 surgeons answered all questions in the survey. Overall 86.9% of respondents felt that the proposed hierarchical nature of injuries was appropriate, and 77.8% of respondents agreed that that the risk of neurologic injury is highest in a vertical fracture through the foramen. Almost 80% of respondents felt that the separation of injuries based on the integrity of L5-S1 facet was appropriate, and 83.8% of surgeons agreed that a nondisplaced sacral U fracture is a clinically relevant entity.ConclusionThis study determines the global perspective on controversial areas in the injury patterns of sacral fractures and demonstrates that the development of a comprehensive and universally accepted sacral classification is possible.
authors: Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
authors: Gregory D
authors: GD
authors: Schroeder
authors: Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
authors: Mark F
authors: MF
authors: Kurd
authors: Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
authors: Christopher K
authors: CK
authors: Kepler
authors: Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
authors: James C
authors: JC
authors: Krieg
authors: Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
authors: Jefferson R
authors: JR
authors: Wilson
authors: Department of Orthopaedic Surgery, University of Washington, Seattle, Washington, United States.
authors: Conor P
authors: CP
authors: Kleweno
authors: Department of Orthopaedic Surgery, University of Washington, Seattle, Washington, United States.
authors: Reza
authors: R
authors: Firoozabadi
authors: Department of Orthopaedic Surgery, University of Washington, Seattle, Washington, United States.
authors: Carlo
authors: C
authors: Bellabarba
authors: Berufsgenossenschaftliche Unfallklinik Frankfurt, Center for Spinal Surgery and Neurotraumatology, Frankfurt/Main, Germany.
authors: Frank
authors: F
authors: Kandizoria
authors: Schön Klinik Nürnberg Fürth, Center for Spinal Surgery, Fürth, Germany.
authors: Klause J
authors: KJ
authors: Schnake
authors: Department of Orthopaedic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
authors: S
authors: S
authors: Rajesekaran
authors: Department of Orthopaedic Surgery, The University of British Columbia, Vancouver, British Columbia, Canada.
authors: Marcel F
authors: MF
authors: Dvorak
authors: Department of Orthopaedic Surgery, The Swedish Neuroscience Institute, Seattle, Washington, United States.
authors: Jens R
authors: JR
authors: Chapman
authors: Department of Orthopaedic Surgery, Catholic University, Curitiba, Brazil.
authors: Luiz R
authors: LR
authors: Vialle
authors: Department of Orthopaedic Surgery, University Medical Center, Utrecht, The Netherlands.
authors: F C
authors: FC
authors: Oner
authors: Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
authors: Alexander R
authors: AR
authors: Vaccaro
keywords: AOSpine; AOTrauma; pelvis trauma; sacral classification; sacral fracture; sacral injury