Sacral Fractures Treatments | Dr. Sachin Patil

The os sacrum connects the spinal column to the pelvic ring and serves as a hinge. Sacral fractures are a diverse set of fractures that can occur in young individuals as a result of a car collision. It can also occure as a result of fall from height. The diagnosis should be made by evaluating particular features during the clinical presentation, with a computed tomography (CT) scan remaining the investigation of choice. Sacral fractures can be treated surgically or non-operatively. Rest and pain reduction therapy are the mainstays of non-operative treatment. 

Classification of such fractures is done on the basis following factors

• The energy of trauma sustained
• Orientation of the fracture lines
• Location of fracture

Diagnosis methods for Sacral Fractures :

• Clinical Diagnosis is done by taking into consideration buttock pain, bruising, swelling and laceration over the sacral area, perineal and genitalia sensibility, sphincter tone malfunction
• Radiological Diagnosis is done using plane radiograph. In order to improve X-ray sensitivity, inlet and outlet views could be merged with the usual AP view. If X-Ray does not show any fracture and pain persists then, CT scan or MRI can be advised.

• Posterior pelvic fixation techniques
• Lumbopelvic fixation techniques