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Rare disease
CASE REPORT
Longitudinal Midline Sacral Split Fracture – A Rare Entity
  1. Sandeep Vijayan,
  2. Viksheth Basani,
  3. Monappa Naik,
  4. Sharath Kumar Rao
  1. Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal - Udupi, Karnataka, India
  1. Correspondence to Dr Sandeep Vijayan, sandeep.vijayan18{at}gmail.com

Summary

Fractures involving the central canal of the sacrum are rare injuries and can be transverse or longitudinal. Transverse fractures are by far common and associated with high incidence of neurological injuries. On the contrary, longitudinal midline split fracture is an extremely rare injury with minimal or no neurological injury. They are always associated with anterior pelvic ring fracture and are vertically stable needing only fixation of the anterior pelvic injury. Plating of the anterior pelvic ring in two planes would be beneficial than single plate to prevent gradual loss of reduction.

  • Orthopaedic and trauma surgery
  • Musculoskeletal and joint disorders
  • Trauma
  • Accidents, injuries
  • Orthopaedics

https://doi.org/10.1136/bcr-2017-220397

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    Footnotes

    • Contributors SV was involved in patient care, planning, conduct, reporting, designing, acquisition of data, analysis, compiling and interpretation of data. VB was involved in patient care, conduct, reporting, acquisition of data, analysis and interpretation of data. MN was involved in patient care, planning, conception, designing, analysis and interpretation of data. SKR was involved in patient care, planning, conduct, conception, designing, analysis and interpretation of data.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.