Clinical analysis of 21 cases of sacral fracture with nerve injury

ZHOU Hai-qing

Abstract：Objective To study the diagnosis and treatment of sacral fracture accompanied by neurological damage.Methods Totally 21 nerve injury patients were admitted in our hospital from 2003 to 2013, including 15 males and 6 females, aged from 18 to 66 years(average 36 years).According to Dennis classification,there were 5 cases of type Ⅰ,13 cases of typeⅡand 3 cases of types Ⅲ.Type Ⅰ and type Ⅱ were treated with conservative methods,and surgery treatment was taken depending on the degree of condition improvement after observation of two to three weeks.Posterior decompression of sacral nerve were performed on type Ⅲ as early as possible.Old frac-ture of type Ⅱand type Ⅲwith neurologic signs were operated in the early stage .Results In 21 cases,conserva-tive treatment was performed in 13 cases.Among them,6 cases were excellent,4 cases were good,2 cases were moderate,1 case was poor,the excellent and good rate was 76.92%;operation treatment was conducted in 8 cases,of which 4 cases were excellent,2 cases were good,1 case was moderate,1 case was poor,the excellent and good rate was 75%.Conclusion The symptoms of sacrum fracture caused by nerve damage are not obvious .For high ener-gy impact injury patients ,the sacral should be examined after routine examination .Patients with sacral fracture and nerve injury should be moderately restored as early as possible .Good reduction,firm internal fixation can signifi-cantly decompress the nerve and reduce the secondary injury .Different surgical treatment should be used according to different types of sacral fracture .Posterior decompression of sacral nerve may be an ideal choice to treat sacral fracture accompanied by neurological damage .Nerve injury is a critical operation indication for old sacral fracture .