Roy-Camille R, Saillant G, Gagna G, Mazel C
Spine (Phila Pa 1976). 1985 Nov;10(9):838-45. doi: 10.1097/00007632-198511000-00011.
Thirteen patients with transverse fractures of the upper sacrum were studied to determine fracture anatomy, clinical presentation, and therapeutic approaches. The injury results from falls from a height and is usually associated with suicidal attempts by jumping. The position of the lumbar spine in lordosis or kyphosis at the time of impact determines which of three types of morbid anatomy will result. Because of associated polytrauma, fracture of the upper sacrum is often not recognized in the acute stage, and awareness of the possibility of such injury, especially in the presence of perineal neurologic deficit should result in securing good quality radiographic study, including tomograms. Surgical treatment is often required.
对13例上骶骨横行骨折患者进行了研究，以确定骨折的解剖结构、临床表现和治疗方法。该损伤由高处坠落所致，通常与跳楼自杀未遂有关。撞击时腰椎前凸或后凸的位置决定了三种病态解剖类型中的哪一种会出现。由于合并多发伤，上骶骨骨折在急性期常未被识别，认识到这种损伤的可能性，尤其是在存在会阴神经功能缺损的情况下，应确保进行高质量的影像学检查，包括断层扫描。通常需要手术治疗。
