Longitudinal Midline Sacral Split Fracture – A Rare Entity
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 minim...
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| Veröffentlicht in: | BMJ case reports 2017-07, Vol.2017, p.bcr-2017-220397 |
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| creator | Vijayan, Sandeep Basani, Viksheth Naik, Monappa Rao, Sharath Kumar |
| description | 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. |
| doi_str_mv | 10.1136/bcr-2017-220397 |
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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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2017-220397</identifier><identifier>PMID: 28756379</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Accidents, Traffic ; Acquisitions & mergers ; Asia ; Bladder ; Bone Plates ; Bone Screws ; Case reports ; Fracture Fixation, Internal ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - physiopathology ; Fractures, Bone - surgery ; Hematuria ; Humans ; Indian Sub-Continent ; Injuries ; Joint Instability - diagnostic imaging ; Joint Instability - etiology ; Male ; Medical imaging ; Middle Aged ; Pelvic Bones - diagnostic imaging ; Pelvic Bones - injuries ; Pelvic Bones - physiopathology ; Pelvic Bones - surgery ; Radiography ; Rare Disease ; Sacrum - diagnostic imaging ; Sacrum - injuries ; Sacrum - physiopathology ; Sacrum - surgery ; Trauma ; Treatment Outcome ; Urine ; Weight-Bearing</subject><ispartof>BMJ case reports, 2017-07, Vol.2017, p.bcr-2017-220397</ispartof><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Copyright: 2017 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3717-15d06ffdd95173390859c6b19c3a91bc696e15f258572dc93ea0aaccf77932593</citedby><cites>FETCH-LOGICAL-b3717-15d06ffdd95173390859c6b19c3a91bc696e15f258572dc93ea0aaccf77932593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614253/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614253/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28756379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vijayan, Sandeep</creatorcontrib><creatorcontrib>Basani, Viksheth</creatorcontrib><creatorcontrib>Naik, Monappa</creatorcontrib><creatorcontrib>Rao, Sharath Kumar</creatorcontrib><title>Longitudinal Midline Sacral Split Fracture – A Rare Entity</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>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.</description><subject>Accidents, Traffic</subject><subject>Acquisitions & mergers</subject><subject>Asia</subject><subject>Bladder</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>Case reports</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - physiopathology</subject><subject>Fractures, Bone - surgery</subject><subject>Hematuria</subject><subject>Humans</subject><subject>Indian Sub-Continent</subject><subject>Injuries</subject><subject>Joint Instability - diagnostic imaging</subject><subject>Joint Instability - etiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Pelvic Bones - injuries</subject><subject>Pelvic Bones - physiopathology</subject><subject>Pelvic Bones - surgery</subject><subject>Radiography</subject><subject>Rare Disease</subject><subject>Sacrum - diagnostic imaging</subject><subject>Sacrum - injuries</subject><subject>Sacrum - physiopathology</subject><subject>Sacrum - surgery</subject><subject>Trauma</subject><subject>Treatment Outcome</subject><subject>Urine</subject><subject>Weight-Bearing</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkd9KwzAUxoMobsxdeycFb0Soy5-maUCEMTYVJoJT8C6kaTozunYmrbA738E39EnM6JTpjecm55Df-fiSD4BjBC8QIvEgVTbEELEQY0g42wNdxCgLGYfP-zt9B_SdW0BfBEVJRA5BByeMxoTxLricVuXc1E1mSlkEdyYrTKmDmVTWj7NVYepgYqWqG6uDz_ePYBg8SN-Oy9rU6yNwkMvC6f727IGnyfhxdBNO769vR8NpmBLm7SGawTjPs4xTxAjhMKFcxSniikiOUhXzWCOaY5pQhjPFiZZQSqVyxjjBlJMeuGp1V0261JnSZe3tiZU1S2nXopJG_L4pzYuYV2-CxijClHiBs62ArV4b7WqxNE7popClrhonEMdRkvAIYY-e_kEXVWP957QU4hGD1FODllK2cs7q_McMgmITjvDhiE04og3Hb5zsvuGH_47CA-ctkC4X_6p9AWsjltM</recordid><startdate>20170728</startdate><enddate>20170728</enddate><creator>Vijayan, Sandeep</creator><creator>Basani, Viksheth</creator><creator>Naik, Monappa</creator><creator>Rao, Sharath Kumar</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170728</creationdate><title>Longitudinal Midline Sacral Split Fracture – A Rare Entity</title><author>Vijayan, Sandeep ; 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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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28756379</pmid><doi>10.1136/bcr-2017-220397</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Accidents, Traffic Acquisitions & mergers Asia Bladder Bone Plates Bone Screws Case reports Fracture Fixation, Internal Fractures, Bone - diagnostic imaging Fractures, Bone - physiopathology Fractures, Bone - surgery Hematuria Humans Indian Sub-Continent Injuries Joint Instability - diagnostic imaging Joint Instability - etiology Male Medical imaging Middle Aged Pelvic Bones - diagnostic imaging Pelvic Bones - injuries Pelvic Bones - physiopathology Pelvic Bones - surgery Radiography Rare Disease Sacrum - diagnostic imaging Sacrum - injuries Sacrum - physiopathology Sacrum - surgery Trauma Treatment Outcome Urine Weight-Bearing |
| title | Longitudinal Midline Sacral Split Fracture – A Rare Entity |
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