[Sacral fracture with spino-pelvic dissociation: a literature review]

Abstract

The term, sacral fracture with traumatic spino-pelvic dissociation, is applied to those fractures of the sacrum in which there are both transverse and sagittal fracture lines in the sacrum, leading to a mechanical dissociation of the spine and the proximal fragment of the sacrum from the remaining sacrum and the pelvis. It is a quite rare pathological condition, and probably underdiagnosed. As it usually results from a high energy multiple trauma, an early diagnosis and treatment are mandatory for a better functional prognosis. We present a literature review of this relatively unknown injury.

Keywords: Complicaciones postoperatorias; Disociación traumática espóndilo-pélvica; Fijación espino-pélvica; Fractura de sacro; Lumbo-pelvic fixation; Multiple trauma; Politraumatizado; Postoperative complications; Sacral fracture; Traumatic spino-pelvic dissociation.