$transverse fracture$

$transverse fracture$

Low transverse sacral fractures usually don't need to be stabilized. A fracture displacement of 1 cm or more is considered to be unstable. Management and treatment will depend on the patient's neurological status and the stability of the fracture. It is essential to describe if there is any displacement of the sacral fragments and sacral canal stenosis. Besides the sacral horizontal fracture, cancellous bone marrow oedema, and paravertebral soft tissue oedema may be seen. TSF fractures are best seen in a lateral sacrum view, although an anteroposterior radiograph could show a step ladder by displacement and overriding of the sacral fragments.ĬT and MRI have a higher sensitivity for transverse sacral fractures than conventional radiology. In general, sacral fractures may be hard to identify on conventional radiology due to the overlying bowel gas, the bladder silhouette, and the normal angulation of the sacrum. A sacral root injury could produce sexual impairment. The most commonly described neurological deficits are bowel-bladder dysfunction and saddle anaesthesia. Options for Repair MethodsFractures of the radius and ulna in miniature breed dogs are often transverse and can occur from minimal trauma due to the small. TSF is more often associated with neurological deficits than vertical fractures. They are usually stable fractures.Ī sacral fracture should always be suspected after trauma with resulting sacrococcygeal pain or a pelvic ring fracture with neurological deficits. Any of the three last sacral vertebrae may be affected. The mechanism involved is a levering action through the distal sacrum, below the sacroiliac joints' level of fixation. Low transverse sacral fractures are mainly due to a direct impact against the coccyx or a direct hit to the lower sacral segments. They are usually secondary to a high-energy traumatic event due to Indirect forces coming from the pelvis and lumbar spine and fixed to the sacrum. High transverse sacral fractures are more common than low transverse sacral fractures. They can be associated with thoracolumbar burst fractures. They were later classified into four categories by Camille et al., but only including transverse high sacral fractures. Nevertheless, many transverse sacral fractures affect the three zones described. The Denis classification of sacral fractures includes them in the zone III fractures. TSF can be categorized in high and low fractures, with both having a horizontal plane separation and two sacral fragments. A fall landing on the buttocks causes 35% of them, with 37% caused by motor vehicle accidents. They constitute up to 5% of sacral fractures, and they usually occur in young adults.

$transverse fracture$

Transverse sacral fractures [TSF} are uncommon.

$transverse fracture$

Transverse fracture