Internal fixation of displaced fractures of the sacrum.

Published

Journal Article

The results of internal fixation in 30 patients with displaced fractures of the sacrum were retrospectively reviewed. All fractures were displaced at least 1 cm. Neurologic injuries occurred in 40% (12 of 30) patients. In 17 patients who underwent open reduction, the preoperative displacement averaged 24 mm and the postoperative displacement averaged 4 mm. In the 13 patients in whom percutaneous fixation was done, the preoperative displacement averaged 15 mm and the postoperative displacement averaged 5 mm. All 30 fractures united. This review of 30 patients with displaced sacral fractures suggests that open reduction and iliosacral screw fixation leads to better reduction of the fracture site than does closed reduction and percutaneous fixation. Functional assessment indicated that the presence of a neurologic injury is the most important predictor of compromised outcome in patients with displaced sacral fractures.

Full Text

Duke Authors

Cited Authors

  • Templeman, D; Goulet, J; Duwelius, PJ; Olson, S; Davidson, M

Published Date

  • August 1996

Published In

Start / End Page

  • 180 - 185

PubMed ID

  • 8769449

Pubmed Central ID

  • 8769449

International Standard Serial Number (ISSN)

  • 0009-921X

Digital Object Identifier (DOI)

  • 10.1097/00003086-199608000-00021

Language

  • eng

Conference Location

  • United States