Sabiston C P, Wing P C
J Trauma. 1986 Dec;26(12):1113-5. doi: 10.1097/00005373-198612000-00010.
Sacral fractures can be classified, for diagnostic purposes, into three categories: 1) the sacral fracture which occurs in conjunction with a pelvic fracture, 2) the isolated sacral fracture of the lower segments; and 3) the isolated sacral fracture of the upper segments. The frequency of each type of fracture decreases from (1) to (3), but the neurologic implications increase. However, treatment for the three types should be conservative, since neurologic deficit at this level tends to improve spontaneously.
为了便于诊断,骶骨骨折可分为三类:1)与骨盆骨折同时发生的骶骨骨折;2)下段孤立性骶骨骨折;3)上段孤立性骶骨骨折。每种骨折类型的发生频率从(1)到(3)逐渐降低,但神经损伤的可能性增加。然而,这三种类型的骨折治疗都应采取保守治疗,因为该水平的神经功能缺损往往会自发改善。