ABSTRACT

Sacrum fractures are injuries with a high rate of mortality and risk of neurological damage usually associated with pelvis fractures and rarely observed as isolated fractures. Since it occurs as a result of high energy trauma, concomitant injuries should be suspected. Full examination including a detailed neurological and radiological examination is required in order to determine treatment modality.

Proper classification of sacral fractures may facilitate determination of optimum treatment modality. Due to the complex nature of the injuries surgical therapeutic options are still being debated. Surgical therapeutic option consisting from decompression of neural structures along with stabilization of the fractures should be considered in patients with neurological deficit, severe soft tissue damage and lumbosacral instability. Percutanous iliosacral screw placement, fixation of posterior sacral tension band and lumbopelvic or triangular fixation techniques are preferred methods.

In this paper, the authors aim to share information in the literature along with their experience about anatomy of sacrum and pelvic regions and common sacral fractures, classification of sacral fractures and current therapeutic strategies.