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Spine
intermediate
X-Type

Sacral Fracture - Denis Classification and Management

Spinal Trauma

A 32-year-old construction worker falls 6 meters from scaffolding, landing on his buttocks. CT scan reveals a complex sacral fracture with bilateral vertical components and a transverse component through S2. The patient has saddle anesthesia and is unable to void. The trauma team discusses the classification and management of this sacral injury pattern. Regarding sacral fractures:

Mark each as TRUE or FALSE

A

The Denis classification divides sacral fractures into three zones: Zone I (lateral to foramina, ~6%...

B

U-shaped (or H-shaped) sacral fractures consist of bilateral vertical components plus a transverse c...

C

Sacral fractures rarely occur with pelvic ring injuries; plain radiographs are sufficient for diagno...

D

Sacral fractures commonly occur with pelvic ring injuries (30-45% of pelvic trauma), often missed on...

E

Spinopelvic dissociation requires lumbopelvic fixation to restore continuity between the spine and p...

Answer the questions to see explanations

Click T (True) or F (False) for each option