合并骨盆骨折脱臼的骶骨骨折

本文分析了26例并发于骨盆垂直双骨折脱臼的骶骨骨折,其类型很多,但骨折线的走向和错位都与骨盆骨折脱臼者一致。伴有骶骨骨折的病例并发严重休克、内脏损伤和四肢骨折脱臼者远比无骶骨骨折者为多;其中18例(78.2％)有腰骶神经损伤。故骶骨骨折是腰骶神经损伤的主要原因。骶骨骨折和腰骶神经损伤无需特殊治疗,要注重伤员的全身情况和整个骨盆骨折脱臼的处理。

Fracture of Sacrum in Double Vertical Fracture-dislocation of Pelvis

26 cases of fracture of sacrum in this series of 50 patients with double vertical fracture-dislocation of pelvis were analysied in respect of their fracture patterns. They constituted 52% in this series and appeared in various types. Taking account of fracture line and direction of dislocation, it is clear that sacral fracture is a result of continuatton of the force causing the pelvic fracture-dislocation. It has been shown thaf the incidences of severe shock, viserel injury, fracture and dirlocaion of extremity were much more common in patients with sacral fracture than those without. 18 cases, 78.2%, of the patients with sacral fracture in this series, had lumbosacral nerve injury, while none of the other 24 patients without sacral fracture experienced nerve injury. Thus sacral fracture is the main cause of damaging the nerve. Severe as it be, sacral fracture and nerve injory need not specific management. For treatment, general condition of the patient is still of utmost importance and the pelvic fracture-dislocation ought to be traeted as a whole.