ReviewEFORT open reviews2020
Sacral fractures: issues, challenges, solutions.
Review in EFORT open reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Reported complications after spinopelvic fixation for U-type sacral fractures in older adults: a systematic review with narrative synthesis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- A systematic review regarding clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis.Nagoya journal of medical science · 2023Pooled it
- Iliosacral Screw Fixation for Treating Sacral Fractures: A Modified Pedicle-Guided Fixation Technique in Prone Position.Orthopaedic surgery · 2026Article
- A novel approach to Roy-Camille type 2 sacral fracture: Percutaneous lumbopelvic fixation following manual hyperextension-assisted closed reduction.Trauma case reports · 2026Article
- Knowledge gaps in high-energy sacral fracture treatment and management.Journal of clinical orthopaedics and trauma · 2026Review
- Recognizing Sacral Insufficiency Fractures Hidden in Plain Sight: An Illustrative Case Report.Cureus · 2026Article
- Modified spinopelvic crab-shaped fixation using offset connectors for a H-shaped sacral fracture with a floating Roy-Camille type 3 transverse component: a case report.Acta neurochirurgica · 2026Article
- Neuronavigated placement of iliosacral screws in sacral fractures: an additional tool in the spine surgeon's arsenal.Journal of spine surgery (Hong Kong) · 2026Article
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- Prone percutaneous Jungbluth for reduction of irreducible posterior pelvic ring injuries: a technical trick.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Is osteoporosis an independent risk factor for sacral fracture after lumbosacral spinal fusion in adults? A retrospective cohort study.The spine journal : official journal of the North American Spine Society · 2025Article
- Clinical and radiological outcomes of lumbopelvic fixation in unstable Isler type II and III sacral fractures.Journal of clinical orthopaedics and trauma · 2025Article
- [Clinical and therapeutic analysis of 22 patients with traumatic spinopelvic dissociation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Innovating Pelvic Fracture Surgery: Development and Evaluation of a New Surgical Table for Enhanced C-Arm Imaging and Operational Efficiency.Journal of clinical medicine · 2025Article
- Percutaneous spinopelvic fixation technique using external fixation for focal kyphosis reduction in U-type sacral fractures: a case report.Journal of spine surgery (Hong Kong) · 2025Article
- Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.Archives of orthopaedic and trauma surgery · 2025Review
- A biomechanical investigation of three fixation methods for unilateral denis type II sacral fractures using finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Posterior pelvic ring injuries, lumbosacral junction instabilities and stabilization techniques for spinopelvic dissociation: a narrative review.Archives of orthopaedic and trauma surgery · 2024Review
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Sacral fractures are a heterogeneous group of fractures occurring in young people following road traffic accidents and falls from height, or in the elderly with osteoporosis following trivial trauma.This heterogeneity, combined with the low incidence of sacral fractures, determines a lack of experience amongst physicians, often leading to misdiagnosis, underestimation and inadequate treatment. The diagnosis should be made by assessing specific features during the clinical presentation, while computed tomography (CT) scan continues to be the choice of investigation.Sacral fractures can be treated non-operatively or surgically. Non-operative treatment is based on rest, pain relief therapy and early mobilization as tolerated. Surgical techniques can be split into two main groups: posterior pelvic fixation techniques and lumbopelvic fixation techniques. Anterior pelvic fixation techniques should be considered when sacral fractures are associated with anterior pelvic ring injuries, in order to increase stability and reduce the risk of posterior implant failure. To improve fracture reduction, different solutions could be adopted, including special positioning of the patient, manipulation techniques and use of specific reduction tools. Patients suffering from spinopelvic dissociation with associated neurologic lesions hardly ever recover completely, with residual lower-limb neurologic sequelae, urinary problems and sexual disfunction.Herein, we present issues, challenges and solutions related to the management of sacral fractures. Cite this article:
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.