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European Journal of Trauma and Emergency Surgery

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Open Access 01-08-2015 | Review Article

Fragility fractures of the sacrum: how to identify and when to treat surgically?

Authors: D. Wagner, C. Ossendorf, D. Gruszka, A. Hofmann, P. M. Rommens

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2015

Abstract

The increasing prevalence of fragility fractures of the sacrum (FFS) occurring predominantly in osteoporotic individuals poses a diagnostic and therapeutic challenge. The clinical presentation varies from longstanding low back pain without the patient remembering a traumatic event to immobilized patients after suffering a low-energy trauma. FFS are often combined with a fracture of the anterior pelvic ring; hence they are classified as a part of fragility fractures of the pelvis (FFP). If not displaced, the patients are treated with weight bearing as tolerated and analgesics; however, we advocate to treat displaced fractures surgically according to the fracture personality and the patient’s comorbidities. Surgical options include minimal invasive sacro-iliac screws, trans-sacral bar osteosynthesis, open reduction and internal fixation, or spinopelvic stabilization. In the light of the high complication rate associated with immobilized patients, an operative approach often is indicated to accelerate the patient’s mobility.

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Title: Fragility fractures of the sacrum: how to identify and when to treat surgically?
Authors: D. Wagner
C. Ossendorf
D. Gruszka
A. Hofmann
P. M. Rommens
Publication date: 01-08-2015
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 4/2015
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-015-0530-z

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Fragility fractures of the sacrum: how to identify and when to treat surgically?

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