Isolated zone I vertical sacral fracture: a case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20250465Keywords:
Sacral bone, Vertical fracture, Isolated, Pelvic injuryAbstract
Isolated sacral fractures are not common. This is attributed to the lack of segmental motion of the sacral bones, and most sacral fractures are transversely oriented. However, vertically oriented sacral fractures are never isolated and are usually associated with pelvic ring fractures due to the shearing force of the pelvic ring. There are only a few case reports of such injury presented in isolation. We are reporting a case of isolated zone I vertical sacral fracture in a 25-year-old female following a road traffic accident with a lateral compression mechanism of injury. Only a few cases related to isolated sacral fractures have been reported in the literature. To our knowledge, there have only been a few reports of vertical sacral fracture following a lateral compression injury. Complete vertical sacral fracture with significant displacement in isolation is a rare injury, as it is usually associated with pelvic ring injuries. Surgical stabilization is an indication of such injury to restore the stability of the pelvic ring.
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Hak DJ, Baran S, Stahel P. Sacral fractures: current strategies in diagnosis and management. Orthopedics. 2009;32(10):4403-4. DOI: https://doi.org/10.3928/01477447-20090818-18
Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum. Suicidal jumper’s fracture. Spine (Phila Pa 1976). 1985;10(9):838-45. DOI: https://doi.org/10.1097/00007632-198511000-00011
Kavalci C, Akdur G, Sayhan MB, Sogut O, Gökdemir MT. Isolated Transverse Sacrum Fracture: A Case Report. Emerg Med Int. 2011;2011:1-3. DOI: https://doi.org/10.1155/2011/741570
Rhee WT, You SH, Jang YG, Lee SY. Lumbo-sacro-pelvic fixation using iliac screws for the complex lumbo-sacral fractures. J Korean Neurosurg Soc. 2007;42(6):495. DOI: https://doi.org/10.3340/jkns.2007.42.6.495
Sabourin M, Lazennec JY, Catonne Y, Pascal-Moussellard H, Rousseau MA. Shortening osteotomy and sacro-sacral fixation for U-shaped sacral fractures. J Spinal Disord Tech. 2010;23(7):457-60. DOI: https://doi.org/10.1097/BSD.0b013e3181bee88f
Harma A, Inan M, Ertem K. Isolated zone III vertical fracture of first sacral vertebra—a case report. Acta Orthopaedica. 2005;76(3):451-2. DOI: https://doi.org/10.1080/17453670510041376
Bilgic S, Kilincoglu V, Yurttas Y, Soylu K, Sehirlioglu A. Isolated zone I vertical fracture of first sacral vertebra: a case report. Cases Journal. 2009;2(1):6254. DOI: https://doi.org/10.1186/1757-1626-2-6254
Weaver EN, England GD, Richardson DE. Sacral Fracture. Neurosurg. 1981;9(6):725-8. DOI: https://doi.org/10.1227/00006123-198112000-00020
Schmidek HH, Smith DA, Kristiansen TK. Sacral fractures. Neurosurgery. 1984;15(5):735-46. DOI: https://doi.org/10.1227/00006123-198411000-00021
Denis F, Davis S, Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res. 1988;227:67-81. DOI: https://doi.org/10.1097/00003086-198802000-00010
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