Sacral Fractures and Associated Injuries
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2227 |
Resumo: | STUDY DESIGN: Literature review. OBJECTIVE: The aim of this review is to describe the injuries associated with sacral fractures and to analyze their impact on patient outcome. METHODS: A comprehensive narrative review of the literature was performed to identify the injuries associated with sacral fractures. RESULTS: Sacral fractures are uncommon injuries that result from high-energy trauma, and that, due to their rarity, are frequently underdiagnosed and mistreated. Only 5% of sacral fractures occur in isolation. Injuries most often associated with sacral fractures include neurologic injuries (present in up to 50% of sacral fractures), pelvic ring disruptions, hip and lumbar spine fractures, active pelvic/ abdominal bleeding and the presence of an open fracture or significant soft tissue injury. Diagnosis of pelvic ring fractures and fractures extending to the lumbar spine are key factors for the appropriate management of sacral fractures. Importantly, associated systemic (cranial, thoracic, and abdominopelvic) or musculoskeletal injuries should be promptly assessed and addressed. These associated injuries often dictate the management and eventual outcome of sacral fractures and, therefore, any treatment algorithm should take them into consideration. CONCLUSIONS: Sacral fractures are complex in nature and often associated with other often-missed injuries. This review summarizes the most relevant associated injuries in sacral fractures and discusses on their appropriate management. |
id |
RCAP_47c3bb99435c6a6dced6326016abd89a |
---|---|
oai_identifier_str |
oai:repositorio.chporto.pt:10400.16/2227 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Sacral Fractures and Associated Injuriesassociated injuriesdiagnosismanagementmusculoskeletal injuriesneurologic injuriessacral fracturessystemic injuriesSTUDY DESIGN: Literature review. OBJECTIVE: The aim of this review is to describe the injuries associated with sacral fractures and to analyze their impact on patient outcome. METHODS: A comprehensive narrative review of the literature was performed to identify the injuries associated with sacral fractures. RESULTS: Sacral fractures are uncommon injuries that result from high-energy trauma, and that, due to their rarity, are frequently underdiagnosed and mistreated. Only 5% of sacral fractures occur in isolation. Injuries most often associated with sacral fractures include neurologic injuries (present in up to 50% of sacral fractures), pelvic ring disruptions, hip and lumbar spine fractures, active pelvic/ abdominal bleeding and the presence of an open fracture or significant soft tissue injury. Diagnosis of pelvic ring fractures and fractures extending to the lumbar spine are key factors for the appropriate management of sacral fractures. Importantly, associated systemic (cranial, thoracic, and abdominopelvic) or musculoskeletal injuries should be promptly assessed and addressed. These associated injuries often dictate the management and eventual outcome of sacral fractures and, therefore, any treatment algorithm should take them into consideration. CONCLUSIONS: Sacral fractures are complex in nature and often associated with other often-missed injuries. This review summarizes the most relevant associated injuries in sacral fractures and discusses on their appropriate management.SAGE PublicationsRepositório Científico do Centro Hospitalar Universitário de Santo AntónioRodrigues-Pinto, R.Kurd, M.Schroeder, G.Kepler, C.Krieg, J.Holstein, J.Bellabarba, C.Firoozabadi, R.Oner, F.Kandziora, F.Dvorak, M.Kleweno, C.Vialle, L.Rajasekaran, S.Schnake, K.Vaccaro, A.2018-08-27T12:38:37Z2017-102017-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2227engGlobal Spine J. 2017 Oct;7(7):609-6162192-568210.1177/2192568217701097info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T10:59:39Zoai:repositorio.chporto.pt:10400.16/2227Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:27.001419Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Sacral Fractures and Associated Injuries |
title |
Sacral Fractures and Associated Injuries |
spellingShingle |
Sacral Fractures and Associated Injuries Rodrigues-Pinto, R. associated injuries diagnosis management musculoskeletal injuries neurologic injuries sacral fractures systemic injuries |
title_short |
Sacral Fractures and Associated Injuries |
title_full |
Sacral Fractures and Associated Injuries |
title_fullStr |
Sacral Fractures and Associated Injuries |
title_full_unstemmed |
Sacral Fractures and Associated Injuries |
title_sort |
Sacral Fractures and Associated Injuries |
author |
Rodrigues-Pinto, R. |
author_facet |
Rodrigues-Pinto, R. Kurd, M. Schroeder, G. Kepler, C. Krieg, J. Holstein, J. Bellabarba, C. Firoozabadi, R. Oner, F. Kandziora, F. Dvorak, M. Kleweno, C. Vialle, L. Rajasekaran, S. Schnake, K. Vaccaro, A. |
author_role |
author |
author2 |
Kurd, M. Schroeder, G. Kepler, C. Krieg, J. Holstein, J. Bellabarba, C. Firoozabadi, R. Oner, F. Kandziora, F. Dvorak, M. Kleweno, C. Vialle, L. Rajasekaran, S. Schnake, K. Vaccaro, A. |
author2_role |
author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Rodrigues-Pinto, R. Kurd, M. Schroeder, G. Kepler, C. Krieg, J. Holstein, J. Bellabarba, C. Firoozabadi, R. Oner, F. Kandziora, F. Dvorak, M. Kleweno, C. Vialle, L. Rajasekaran, S. Schnake, K. Vaccaro, A. |
dc.subject.por.fl_str_mv |
associated injuries diagnosis management musculoskeletal injuries neurologic injuries sacral fractures systemic injuries |
topic |
associated injuries diagnosis management musculoskeletal injuries neurologic injuries sacral fractures systemic injuries |
description |
STUDY DESIGN: Literature review. OBJECTIVE: The aim of this review is to describe the injuries associated with sacral fractures and to analyze their impact on patient outcome. METHODS: A comprehensive narrative review of the literature was performed to identify the injuries associated with sacral fractures. RESULTS: Sacral fractures are uncommon injuries that result from high-energy trauma, and that, due to their rarity, are frequently underdiagnosed and mistreated. Only 5% of sacral fractures occur in isolation. Injuries most often associated with sacral fractures include neurologic injuries (present in up to 50% of sacral fractures), pelvic ring disruptions, hip and lumbar spine fractures, active pelvic/ abdominal bleeding and the presence of an open fracture or significant soft tissue injury. Diagnosis of pelvic ring fractures and fractures extending to the lumbar spine are key factors for the appropriate management of sacral fractures. Importantly, associated systemic (cranial, thoracic, and abdominopelvic) or musculoskeletal injuries should be promptly assessed and addressed. These associated injuries often dictate the management and eventual outcome of sacral fractures and, therefore, any treatment algorithm should take them into consideration. CONCLUSIONS: Sacral fractures are complex in nature and often associated with other often-missed injuries. This review summarizes the most relevant associated injuries in sacral fractures and discusses on their appropriate management. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10 2017-10-01T00:00:00Z 2018-08-27T12:38:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2227 |
url |
http://hdl.handle.net/10400.16/2227 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Global Spine J. 2017 Oct;7(7):609-616 2192-5682 10.1177/2192568217701097 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SAGE Publications |
publisher.none.fl_str_mv |
SAGE Publications |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799133645701644288 |