Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 4/2004

01-08-2004 | Original Paper

Sacral fractures with neurological injury: is early decompression beneficial?

Authors: B. A. Zelle, G. S. Gruen, T. Hunt, S. R. Speth

Published in: International Orthopaedics | Issue 4/2004

Login to get access

Abstract

During a 6-year period, 177 patients with a displaced sacral fracture were treated at our level-one trauma centre. At the initial presentation, 13 patients demonstrated a neurological deficit as a result of their sacral fracture. Six patients underwent surgical decompression, and seven patients were managed without surgical decompression. All patients were re-assessed at an average follow-up of 27.1 (range 12–84) months using the modified SOFCOT Index and the SF-36. Patients undergoing surgical decompression had a significantly better neurological improvement as measured by the modified SOFCOT Index (p=0.014). Moreover, patients undergoing surgical decompression had a significantly better physical function than the patients that were managed without surgical decompression, as measured by the SF-36 (p=0.044). We therefore believe that patients undergoing surgical decompression achieve better neurological improvement and better functional results.
Literature
1.
Baker SP, O’Neill B (1976) The injury severity score: an update. J Trauma 16:882–885PubMed
2.
Bellarba C, Stewart JD, Ricci WM, DiPasquale TG, Bolhofer BR (2003) Midline sagittal fractures in anterior-posterior compression pelvic ring injuries. J Orthop Trauma 17:32–37CrossRefPubMed
3.
Denis F, Davis S, Comfort T (1988) Sacral fractures: an important problem. Clin Orthop 277:67–81
4.
Ebraheim NA, Biyani A, Salpietro B (1996) Zone III fractures of the sacrum: a case report. Spine 21:2390–2396CrossRefPubMed
5.
Fountain SS, Hamilton RD, Jameson RM (1977) Transverse fractures of the sacrum. A report of six cases. J Bone Joint Surg [Am] 59:486–489
6.
Gibbons KJ, Soloniuk DS, Razack N (1990) Neurological injury and patterns of sacral fractures. J Neurosurg 72:889–893PubMed
7.
Hersche O, Isler B, Aebi M (1993) Follow-up and prognosis of neurologic sequelae of pelvic ring fractures with involvement of the sacrum and/or the iliosacral joint. Unfallchirurg 96:311–318PubMed
8.
Kim MY, Reidy DP, Nolan PC, Finkelstein JA (2001) Transverse sacral fractures: case series and literature review. Can J Surg 44:359–363PubMed
9.
Lassale B, Garcon P. Etude Clinic de la stenose lombaire (1989) Rev Chir Orthop Reparatrice Appar Mot 75 [Suppl 1]:40–44
10.
Nork SE, Jones CB, Harding SP, Mirza SK, Routt ML (2001) Percutaneous stabilization of U-shaped sacral fractures using iliosacral screws: technique and early results. J Orthop Trauma 4:238–246CrossRef
11.
Phelan ST, Jones DA, Bishay M (1991) Conservative management of transverse fractures of the sacrum with neurological features. J Bone Joint Surg [Br] 73:969–971
12.
Pohlemann T, Gansslen A, Tscherne H (1992) The problem of the sacrum fracture. Clinical analysis of 377 cases. Orthopade 21:400–412PubMed
13.
Roy-Camille R, Saillant G, Gagna G, Mazel C (1985) Transverse fracture of the upper sacrum. Suicidal jumper’s fracture. Spine 10:838–845PubMed
14.
Sabiston CP, Wing PC (1986) Sacral fractures: classification and neurologic implications. J Trauma 26:1113–1115PubMed
15.
Schmidek HH, Smith DA, Kristiansen TK (1984) Sacral fractures. Neurosurg 15:735–746
16.
Seddon H. Surgical disorders of the peripheral nerves. Edinburgh and London: Churchill Livingstone. 1972:299
17.
Taguchi T, Kawai S, Kaneko K, Yugue D (2001) Operative management of displaced fractures of the sacrum. J Orthop Sci 4:347–352CrossRef
18.
Tile M (1988) Pelvic ring fractures: should they be fixed? J Bone Joint Surg [Br] 70:1–12
19.
Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483PubMed
Metadata
Title
Sacral fractures with neurological injury: is early decompression beneficial?
Authors
B. A. Zelle
G. S. Gruen
T. Hunt
S. R. Speth
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2004
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0557-y

Other articles of this Issue 4/2004

International Orthopaedics 4/2004 Go to the issue

Original Paper

Early results of endoscopic trochanter bursectomy

Original Paper

Giant-cell tumors of bone: an analysis of 87 cases

Original Paper

Minimally invasive unicompartmental knee replacement with a nonimage-based navigation system

Original Paper

Proximal humeral fractures with minimal displacement treated conservatively

Original Paper

Early aseptic loosening of cemented total hip arthroplasty: the influence of non-steroidal anti-inflammatory drugs and smoking

Original Paper

Comparison of wear and osteolysis in hip replacement using two different coatings of the femoral stem