Emergency Medicine International (Jan 2023)

Recent Progress in the Classification and Operation of Sacral Fractures

  • Nian Sun,
  • Yijun Liu,
  • Haohan Yan,
  • Zhiqiang Zhang,
  • Yanbing Li,
  • Canjun Zeng

DOI
https://doi.org/10.1155/2023/2795722
Journal volume & issue
Vol. 2023

Abstract

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Most sacral fractures are caused by high-energy, violent injuries, often accompanied by lumbosacral plexus injuries, which can cause instability of the posterior pelvic ring or lumbosacral junction in severe cases. Currently, the most commonly used clinical classification methods are Denis classification, Tile classification, Isler classification, and Denis II classification. In recent years, lumbosacral vertebral injury classification and injury degree scoring systems have often been applied clinically as the choice of treatment methods. At present, the internal fixation and implantation methods of sacral fracture are developing in the direction of positive, efficient, safe, and minimally invasive. But different fixation methods have their own indications, which should be strictly followed. This article reviews the classification of sacral fractures and the latest progress in surgical treatment.