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Sacral Fractures and Associated Injuries

2017-10Journal article Open access
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dc.contributor.authorRodrigues-Pinto, R.
dc.contributor.authorKurd, M.
dc.contributor.authorSchroeder, G.
dc.contributor.authorKepler, C.
dc.contributor.authorKrieg, J.
dc.contributor.authorHolstein, J.
dc.contributor.authorBellabarba, C.
dc.contributor.authorFiroozabadi, R.
dc.contributor.authorOner, F.
dc.contributor.authorKandziora, F.
dc.contributor.authorDvorak, M.
dc.contributor.authorKleweno, C.
dc.contributor.authorVialle, L.
dc.contributor.authorRajasekaran, S.
dc.contributor.authorSchnake, K.
dc.contributor.authorVaccaro, A.
dc.date.accessioned2018-08-27T12:38:37Z
dc.date.available2018-08-27T12:38:37Z
dc.date.issued2017-10
dc.description.abstractSTUDY DESIGN: Literature review. OBJECTIVE: The aim of this review is to describe the injuries associated with sacral fractures and to analyze their impact on patient outcome. METHODS: A comprehensive narrative review of the literature was performed to identify the injuries associated with sacral fractures. RESULTS: Sacral fractures are uncommon injuries that result from high-energy trauma, and that, due to their rarity, are frequently underdiagnosed and mistreated. Only 5% of sacral fractures occur in isolation. Injuries most often associated with sacral fractures include neurologic injuries (present in up to 50% of sacral fractures), pelvic ring disruptions, hip and lumbar spine fractures, active pelvic/ abdominal bleeding and the presence of an open fracture or significant soft tissue injury. Diagnosis of pelvic ring fractures and fractures extending to the lumbar spine are key factors for the appropriate management of sacral fractures. Importantly, associated systemic (cranial, thoracic, and abdominopelvic) or musculoskeletal injuries should be promptly assessed and addressed. These associated injuries often dictate the management and eventual outcome of sacral fractures and, therefore, any treatment algorithm should take them into consideration. CONCLUSIONS: Sacral fractures are complex in nature and often associated with other often-missed injuries. This review summarizes the most relevant associated injuries in sacral fractures and discusses on their appropriate management.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGlobal Spine J. 2017 Oct;7(7):609-616pt_PT
dc.identifier.doi10.1177/2192568217701097pt_PT
dc.identifier.issn2192-5682
dc.identifier.issn2192-5690
dc.identifier.urihttp://hdl.handle.net/10400.16/2227
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624377/pdf/10.1177_2192568217701097.pdfpt_PT
dc.subjectassociated injuriespt_PT
dc.subjectdiagnosispt_PT
dc.subjectmanagementpt_PT
dc.subjectmusculoskeletal injuriespt_PT
dc.subjectneurologic injuriespt_PT
dc.subjectsacral fracturespt_PT
dc.subjectsystemic injuriespt_PT
dc.titleSacral Fractures and Associated Injuriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceEnglandpt_PT
oaire.citation.endPage616pt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPage609pt_PT
oaire.citation.titleGlobal Spine Journalpt_PT
oaire.citation.volume7pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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