Classification of sacral fractures.doc

 PAGE \* MERGEFORMAT 9 Classification of sacral fractures [Keywords:] sacral fracture classification Sacral fracture is a relatively common injury, but in clinical diagnosis and treatment can easily be overlooked .1847 Malgaigne in his works in on the treatment of sacral fractures are discussed, and reference to the description of the sacral fracture has been traced back to as early as 7 century, but such damage is generally believed that Malgaigne is the first reporter. since the issue has not been sufficient attention to the relevant records are rare in the literature. Until 1945, scholars have made a more detailed classification and discussion . sacral fractures are relatively rare in the past that in recent years has increased its coverage, but the paper reported domestic secondary literature is still very rare. Under the existing case reports, the injury mechanism for fracture of the sacrum, classification, diagnosis and treatment options, there are still with considerable controversy. This article classification of sacral fractures were reviewed. 1 Denis classification Denis [1] According to the sacral anatomy of the sacrum is divided into three zones, namely zone : sacral wing area, area: neural foramen, area: the spinal canal area. Fractures according to anatomic site in which to determine the type classification, three type. type: Fracture of the lateral hole in the sacral nerve, fracture lines through the sacral wing, type: fractures sacral hole, type: fractures in the medial sacral neural foramen (Central side). transverse fracture involving the vertebral fracture pipe, is type fractures. Advantages of this classification may be fractures in its morphology and clinical manifestations and treatment options more closely linked, that is, type and type injury usually involving only the side of the nerve root, and type fractures often bilateral nerve root injury and symptoms caused by bladder or rectum. In its report of a group of