Sacral insufficiency fractures usually are parallel to the spine. A paradoxic inlet view of the upper sacrum on the anteroposterior plain pelvic radiograph heralds the diagnosis.
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The appropriate treatment of this fracture is vigorously debated despite the common goal of. If the fracture involves just the ala, there is usually not a risk. There are several classification systems for sacral fractures, but the most commonly employed are the denis classification and subclassification systems, and the isler classification system.
Sacral insufficiency fractures usually are parallel to the spine.
These sacral fractures are rare and occur after significant spinal axial loading. Sacral fractures are classified into three zones, zone 1, zone 2, and zone 3. A fracture involving the sacrum, a structure located at the base of the lumbar spine formed by the fusion of five sacral vertebrae. There are several classification systems for sacral fractures, but the most commonly employed are the denis classification and subclassification systems, and the isler classification system. Sacral fragility fractures cause significant pain and morbidity in the elderly population in which they occur. These sacral fractures are rare and occur after significant spinal axial loading. Possible causes, signs and symptoms, standard treatment options and means of care and support. Sacral fractures and injuries to the cauda equine. Fractures of the pelvis include sacral fractures which can vary. Login to view community videos. Plain radiographic, scintigraphic, ct, and mr imaging findings have been. Sacral insufficiency fractures in the elderly. Due to the complex nature of the injuries surgical therapeutic options are still being debated. This case was sent to me for my opinion on what to do. Sacral fractures are a common yet underdiagnosed cause of low back pain, predominantly in elderly women with osteoporosis. Ebraheim's educational animated video describes the classifications of sacral fractures. This injury is easily missed and the diagnosis is often delayed as it is difficult to detect on the anteroposterior view of the pelvic radiograph.
