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Musculoskeletal
Diagnosis
Trauma
Hip and Pelvis
Osseous Pathology
Pelvis
Sacral Fractures, Traumatic
Sacral Fractures, Traumatic
Julia R. Crim, MD
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Arcuate line: Curved line delimiting superior margin of neural foramen
Zone 2 fractures will disrupt arcuate line
Lumbosacral dissociation (spondylopelvic dissociation): U-shaped fracture associated with ligamentous disruption
Lose structural continuity between spine and pelvis
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Ruatti S et al: Which pelvic ring fractures are potentially lethal? Injury. 46(6):1059-63, 2015
Bydon M et al: Sacral fractures. Neurosurg Focus. 37(1):E12, 2014
Sullivan MP et al: Spondylopelvic dissociation. Orthop Clin North Am. 45(1):65-75, 2014
Denis F et al: Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop. 227:67-81, 1988
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Arcuate line: Curved line delimiting superior margin of neural foramen
Zone 2 fractures will disrupt arcuate line
Lumbosacral dissociation (spondylopelvic dissociation): U-shaped fracture associated with ligamentous disruption
Lose structural continuity between spine and pelvis
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Ruatti S et al: Which pelvic ring fractures are potentially lethal? Injury. 46(6):1059-63, 2015
Bydon M et al: Sacral fractures. Neurosurg Focus. 37(1):E12, 2014
Sullivan MP et al: Spondylopelvic dissociation. Orthop Clin North Am. 45(1):65-75, 2014
Denis F et al: Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop. 227:67-81, 1988
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