Spinal Trauma
A 45-year-old construction worker falls 6 meters and sustains a polytrauma injury. Pelvic X-ray shows a vertical sacral fracture. CT scan reveals the fracture line passing through the sacral foramina bilaterally with transverse component connecting them (U-shaped pattern). The patient cannot move his toes and has perianal numbness. He also has an associated acetabular fracture. Regarding sacral fractures:
Mark each as TRUE or FALSE
The Denis classification divides the sacrum into three zones: Zone I (lateral to foramina, 6% neurol...
Sacral fractures commonly occur with pelvic ring injuries (LC, APC, VS patterns); the Roy-Camille cl...
Zone I fractures have the highest neurological injury rate (57%); Zone III fractures rarely cause ne...
Clinical evaluation includes rectal examination for tone, perianal sensation, and sacral reflexes (S...
Treatment depends on stability and neurological status; stable Zone I fractures can be managed non-o...
Answer the questions to see explanations
Click T (True) or F (False) for each option