Fixation of fractures of the sacrum

Fractures of the sacrum are infrequent injuries; however, they comprise a wide spectrum of injury types.Classification of the injuries are predominantly by fracture line direction (vertical, transverse, and oblique). The direction of the fracture line dictates both the most effective type of surgical management as well as the biologic consequences of the fracture. Most vertical fractures are associated with pelvic injuries and rarely have severe neural conpromise. Fixation of the sacral fracture is often a part of the more complex restoration of pelvic stability. Transverse and oblique sacral fractures are less often part of a pelvic injury complex; and they more often have associated neural deficits. Surgical treatment is most often indicated for neural decompression and stabilization for optimal recovery.