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What is a Type 4 sacral fracture?

What is a Type 4 sacral fracture?

type 3: kyphotic angulation with complete offset of the fracture fragments. type 4: comminuted S1 segment, usually due to axial compression.

What is a bilateral sacral fracture?

A sacral fracture occurs when a bone called the sacrum breaks. The sacrum is a large triangular bone at the bottom of the spine. It fits like a wedge between the two hip bones. The sacrum is made up of the sacral vertebrae, which are fused together. Sometimes the coccyx, or tailbone, is fractured along with the sacrum.

What type of fracture is a sacral ala fracture?

A : Type B fractures of the sacral ala : B1 fracture parallel to the sacroiliac joint; B2 fracture involving the sacroiliac joint; and B3 fracture with an involvement of the neural foramina or the spinal canal.

What is H type sacral fracture?

Fractures with a H- or U-shaped line are severely unstable, due to a dissociation of the spine and of the upper body of the sacrum from the pelvis. They are commonly due to high-energy trauma events, with severe neurological injuries in 80% of cases.

How serious is a sacral fracture?

Although uncommon, sacral stress fractures are an important and curable cause of low-back pain. They should be suspected in elderly patients suffering from low-back or pelvic pain without a history of trauma.

How painful are sacral fractures?

A physician named Lourie first described sacral insufficiency fractures in 1982. These fractures can cause severe pain in the buttock, back, hip, groin, and/or pelvis. Walking is typically slow and painful. Many daily activities become painful, difficult, and in some cases impossible.

How painful is a sacral fracture?

What is a pubis fracture?

A pelvis fracture is a break of the ring of bones that connect your spine to the hips. These fractures usually result from high energy injuries such as car accidents or falls from a height in younger patients and most often from falls in the elderly patient.

How long does a sacral fracture take to heal?

A sacral fracture takes 8–12 weeks to heal and fusion rates following sacral fractures have been reported to be 85–90%. Malunion can occur after delayed treatment or insufficient reduction, with a consequent alteration of pelvic incidence.

What is a comminuted fracture?

A comminuted (kah-muh-NOOT-ed) fracture is a type of broken bone. The bone is broken into more than two pieces.

What kind of injury can cause sacral fracture?

Traumatic fractures of the sacrum can occur in conjunction with other types of pelvic and spinal fractures. These injuries commonly occur as a result of serious high-energy injuries including motor vehicle collisions and severe falls.

What is the Denis classification of a sacral fracture?

Denis classification zone 1: fracture involves the sacral ala lateral to the neural foramina zone 2: fracture involves the neural foramina, but does not involve the spinal canal

How many sacral fractures are there in the world?

In 1988, Denis and colleagues 1 published a series of 236 sacral fractures and proposed a simplified classification scheme that categorizes sacral fractures based on the sacrum’s division into three anatomic zones: zone I (alar region), zone II (foraminal region), and zone III (region of the central sacral canal).

How can I tell if I have a sacral fracture?

These injuries may be the result of a fall or the result of no particular injury. 4  Patients commonly complain of symptoms of low back and buttock pain. Sacral insufficiency fractures may not be seen on regular x-rays but typically show up on MRI or CT scans of the pelvis.

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Ruth Doyle