骶骨骨折：综述
Sacral Fractures: A Review.
作者信息
Barber Lauren A, Katsuura Yoshihiro, Qureshi Sheeraz
机构信息
Emory Spine Center, Atlanta, GA, USA.
Adventist Health Howard Memorial Hospital, Willits, CA, USA.
出版信息
HSS J. 2023 May;19(2):234-246. doi: 10.1177/15563316221129607. Epub 2022 Oct 20.
Abstract
At the cornerstone of the pelvis and spine, the sacrum may be fractured in patients of all ages. Sacral fractures range from high-energy injuries, with mortality rates of up to 18%, to low-energy insufficiency fractures. The intricate geometry of the sacrum, the breadth of morphotypes, and the presence of congenital anomalies all can complicate the treatment of these fractures. Agreement on the surgical indications for these injuries is limited. This narrative review aims to update orthopedic surgeons on the clinical evaluation and the non-surgical and surgical management of these fractures.
摘要
作为骨盆和脊柱的基石，骶骨在各个年龄段的患者中都可能发生骨折。骶骨骨折范围从高能量损伤（死亡率高达18%）到低能量不全骨折。骶骨复杂的几何形状、多种形态类型以及先天性异常的存在都会使这些骨折的治疗变得复杂。对于这些损伤的手术适应症，目前尚未达成广泛共识。本叙述性综述旨在向骨科医生介绍这些骨折的临床评估以及非手术和手术治疗方法。
相似文献
1
Sacral Fractures: A Review.
HSS J. 2023 May;19(2):234-246. doi: 10.1177/15563316221129607. Epub 2022 Oct 20.
2
Sacral fractures: current strategies in diagnosis and management.
Orthopedics. 2009 Oct;32(10). doi: 10.3928/01477447-20090818-18.
3
Role of triangular osteosynthesis in vertically unstable transforaminal sacrum fractures: clinical and radiological outcomes.
Eur J Trauma Emerg Surg. 2022 Apr;48(2):1369-1379. doi: 10.1007/s00068-021-01688-y. Epub 2021 May 19.
4
Triangular Osteosynthesis as a Surgical Treatment Option for Unstable Sacral Fracture Fixation with Sacroiliac Dislocation: A Case Report.
J Orthop Case Rep. 2024 Feb;14(2):39-43. doi: 10.13107/jocr.2024.v14.i02.4210.
5
What constitutes a Young and Burgess lateral compression-I (OTA 61-B2) pelvic ring disruption? A description of computed tomography-based fracture anatomy and associated injuries.
J Orthop Trauma. 2009 Jan;23(1):16-21. doi: 10.1097/BOT.0b013e31818f8a81.
6
Anatomical and biomechanical analyses of the unique and consistent locations of sacral insufficiency fractures.
Spine (Phila Pa 1976). 2009 Feb 15;34(4):309-15. doi: 10.1097/BRS.0b013e318191ea01.
7
Consensus for management of sacral fractures: from the diagnosis to the treatment, with a focus on the role of decompression in sacral fractures.
J Orthop Traumatol. 2023 Sep 4;24(1):46. doi: 10.1186/s10195-023-00726-2.
8
The Surgical Algorithm for the AO Spine Sacral Injury Classification System.
Spine (Phila Pa 1976). 2024 Feb 1;49(3):165-173. doi: 10.1097/BRS.0000000000004876. Epub 2023 Nov 16.
9
Fragility fractures of the sacrum occur in elderly patients with severe loss of sacral bone mass.
Arch Orthop Trauma Surg. 2018 Jul;138(7):971-977. doi: 10.1007/s00402-018-2938-5. Epub 2018 Apr 26.
10
A comprehensive analysis with minimum 1-year follow-up of vertically unstable transforaminal sacral fractures treated with triangular osteosynthesis.
J Orthop Trauma. 2009 May-Jun;23(5):313-9; discussion 319-21. doi: 10.1097/BOT.0b013e3181a32b91.
引用本文的文献
1
One-year mortality rates of fragility fractures of the pelvis: a systematic review and meta-analysis.
EFORT Open Rev. 2025 Sep 4;10(9):709-717. doi: 10.1530/EOR-2024-0164.
2
Application of CT images for reconstruction of adigital model of the sacral nerve canal.
Am J Transl Res. 2024 Nov 15;16(11):7087-7095. doi: 10.62347/SRDD6372. eCollection 2024.
3
Tailored sacroplasty for sacral fracture secondary to an epileptic seizure.
Surg Neurol Int. 2024 Nov 8;15:409. doi: 10.25259/SNI_816_2024. eCollection 2024.
4
A Case of U-shaped Sacral Fracture After Longstanding Spinopelvic Fixation Treated With Percutaneous Sacroiliac Joint Fusion and Iliosacral Osteosynthesis.
Cureus. 2023 Oct 16;15(10):e47152. doi: 10.7759/cureus.47152. eCollection 2023 Oct.
本文引用的文献
1
A scalable physician-level deep learning algorithm detects universal trauma on pelvic radiographs.
Nat Commun. 2021 Feb 16;12(1):1066. doi: 10.1038/s41467-021-21311-3.
2
Sacral insufficiency fractures after lumbosacral arthrodesis: salvage lumbopelvic fixation and a proposed management algorithm.
J Neurosurg Spine. 2020 Mar 27;33(2):225-236. doi: 10.3171/2019.12.SPINE191148. Print 2020 Aug 1.
3
Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain.
Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. eCollection 2020 Feb.
4
Minimally Invasive Lumbopelvic Fixation for Unstable U-Type Sacral Fractures.
Cureus. 2019 Sep 11;11(9):e5621. doi: 10.7759/cureus.5621.
5
Safety and efficacy of percutaneous sacroplasty for treatment of sacral insufficiency fractures: a systematic review.
J Spine Surg. 2019 Sep;5(3):365-371. doi: 10.21037/jss.2019.06.05.
6
Safety and Efficacy of Sacroplasty for Sacral Fractures: A Systematic Review and Meta-Analysis.
J Vasc Interv Radiol. 2019 Nov;30(11):1845-1854. doi: 10.1016/j.jvir.2019.06.013. Epub 2019 Oct 3.
7
Diagnosis, Risk Factors, and Management of Sacral and Pelvic Fractures After Instrumented Lumbar Fusions: A Systematic Review.
Global Spine J. 2019 Aug;9(5):540-544. doi: 10.1177/2192568218779986. Epub 2018 Jun 12.
8
Surgery for Unilateral Sacral Fractures: Are the Indications Clear?
J Orthop Trauma. 2019 Dec;33(12):619-625. doi: 10.1097/BOT.0000000000001587.
9
Does Operative Intervention Provide Early Pain Relief for Patients With Unilateral Sacral Fractures and Minimal or No Displacement?
J Orthop Trauma. 2019 Dec;33(12):614-618. doi: 10.1097/BOT.0000000000001578.
10
Safety and accuracy of robot-assisted versus fluoroscopy-assisted pedicle screw insertion in thoracolumbar spinal surgery: a prospective randomized controlled trial.
J Neurosurg Spine. 2019 Feb 8;30(5):615-622. doi: 10.3171/2018.10.SPINE18487. Print 2019 May 1.
Zotero 插件