Sacral fractures

Mohamad Bydon, Vance Fredrickson, Rafael de la Garza-Ramos, Yiping Li, Ronald A. Lehman, Gregory R. Trost, Ziya L. Gokaslan

Research output: Contribution to journalArticle

17 Scopus citations


Sacral fractures are uncommon lesions and most often the result of high-energy trauma. Depending on the fracture location, neurological injury may be present in over 50% of cases. In this article, the authors conducted a comprehensive literature review on the epidemiology of sacral fractures, relevant anatomy of the sacral and pelvic region, common sacral injuries and fractures, classification systems of sacral fractures, and current management strategies. Due to the complex nature of these injuries, surgical management remains a challenge for the attending surgeon. Few large-scale studies have addressed postoperative complications or long-term results, but current evidence suggests that although fusion rates are high, long-term morbidity, such as residual pain and neurological deficits, persists for many patients.

Original languageEnglish (US)
Article numberE12
JournalNeurosurgical focus
Issue number1
StatePublished - 2014


  • Instrumentation
  • Outcomes
  • Review
  • Sacral fracture

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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  • Cite this

    Bydon, M., Fredrickson, V., de la Garza-Ramos, R., Li, Y., Lehman, R. A., Trost, G. R., & Gokaslan, Z. L. (2014). Sacral fractures. Neurosurgical focus, 37(1), [E12].