Sacral Fracture


Fracture Description/
Mechanism of Injury
Clinical Findings/
Associated Injuries
Treatment Disposition and Follow-Up
Sacral fracture Transverse fractures from direct anteroposterior trauma

Upper transverse fractures from fall in flexed position
Pain on rectal examination

Sacral root injury with upper transverse fractures

Vertical fractures may transect the pelvic ring
Analgesics
bed rest
Surgery may be needed for displaced fractures or neurologic injury
Discharge with orthopedic follow-up 1-2 wk

Orthopedic consultation for displaced fractures or neurologic deficits
SACRAL INJURIES

Imaging

Treatment

Disposition