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Sacral Fracture - Causes, Symptoms, Diagnosis, and Treatment

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A sacral fracture is a breakage that occurs in the sacrum, which is a large triangular bone at the base of the spine. Read the below article to know more.

Written by

Dr. Durga. A. V

Medically reviewed by

Dr. Anuj Gupta

Published At October 19, 2023
Reviewed AtOctober 19, 2023

Introduction

A sacral fracture is a rare but potentially serious injury that can occur in the bone near the base of the spine the sacrum between the two hip bones. A variety of factors, including falls, sports injuries, car accidents, and osteoporosis, can result in this type of fracture. Sacral fractures can be difficult to diagnose and treat, and if not managed properly, they can lead to long-term complications. Understanding the anatomy, causes, symptoms, diagnosis, and treatment of sacral fractures is critical for healthcare professionals, patients, and their families in this context. This article provides an overview of sacral fractures, highlighting key information for those interested in learning more about this condition.

What Is Sacral Fracture?

A sacral fracture occurs when one or more of the bones that make up the base of the spine, a big triangular bone called the sacrum that connects the spine to the pelvis, breaks. The sacrum is made up of five fused vertebrae that are stronger and denser than the rest of the spine's vertebrae. Despite their strength, the sacral bones can fracture due to trauma or stress, causing pain and mobility issues. Sacral fractures can range in severity from minor hairline cracks to complete breaks requiring surgery. Falling, car accidents, sports injuries, and bone-weakening conditions such as osteoporosis are all common causes of sacral fractures. The severity of the sacral fracture determines the treatment.

What Are the Causes of Sacral Fractures?

Sacral fractures can occur for a variety of reasons, including:

  1. Trauma: A traumatic injury, such as a fall, car accident, or sports injury, is the most common cause of sacral fractures. The impact of the trauma can break the sacral bones.

  2. Repetitive Stress: Long-distance running, for example, can cause stress fractures in the bone due to repetitive stress on the sacrum.

  3. Osteoporosis: The bones become more brittle due to this illness, and increases their susceptibility to fractures. Even with minor trauma, osteoporosis can cause sacral fractures.

  4. Cancer: Bones weakened by cancer-related bone metastases are more susceptible to fractures in the sacral bones.

  5. Pregnancy and Childbirth: The weight of the growing fetus, as well as the pressure of childbirth, can put stress on the sacral bones and cause fractures.

  6. Radiation Therapy: Radiation therapy for pelvic cancer can weaken the sacral bones and increase the risk of fractures.

It is important to determine the cause of the sacral fracture because this will help guide appropriate treatment and prevent further injury.

What Are the Symptoms of Sacral Fracture?

Depending on the severity of the injury, the symptoms of a sacral fracture may vary. In some cases, no symptoms are present, and the fracture is discovered by chance during an imaging study for another condition. However, common sacral fracture symptoms include:

  1. Pain in the lower back, hips, or buttocks is the most common symptom of a sacral fracture. The pain may be severe and aggravated by movement or pressure on the affected area.

  2. Due to pain and mobility issues, a sacral fracture can make it difficult to stand or walk

up to get together with.

  1. A sacral fracture can cause bowel or bladder dysfunction due to nerve damage in severe cases.

  2. Swelling or bruising in the lower back or buttocks is possible.

If one experiences any of these symptoms, seek medical attention immediately, especially if they are severe or interfere with daily activities. A sacral fracture that is detected and treated early can improve outcomes and prevent long-term complications.

How to Diagnose Sacral Fracture?

A sacral fracture is typically diagnosed through a combination of physical examination, medical history review, and imaging tests. To diagnose a sacral fracture, the doctor may do the following:

  1. Medical History: The doctor will enquire about the symptoms, recent injuries or falls, and any medical conditions that may have an impact on bone health, such as osteoporosis or cancer.

  2. Physical Examination: The medical professional will perform a physical exam, which will include a neurological exam to look for any nerve damage. They may also press on the sacrum to assess tenderness or pain.

  3. Imaging Tests: Imaging tests are used to validate the diagnosis and quantify the severity of the fracture. Among these tests are:

  • X-rays: An X-ray can detect a break in the sacrum.

  • CT Scan: A CT (computed tomography) scan provides more detailed images of the bones and can pinpoint the exact location and severity of the fracture.

  • MRI: An MRI (magnetic resonance imaging) can detect nerve damage or other soft tissue injuries.

  1. Bone Scan: A bone scan could be prescribed to look for additional areas of bone weakness or injury.

Diagnosing a sacral fracture can be difficult because the symptoms are similar to those of other conditions, such as sciatica or lower back pain. If one suspects that they have a fracture, consult a doctor as soon as possible for a proper diagnosis and course of treatment.

What Is the Treatment Plan For sacral Fracture?

Because "sacral fracture" is not a recognized medical term, providing a specific treatment plan is difficult. However, assuming meant "sacral fracture," which refers to a fracture in the triangle-shaped spine's basal bone, the typical treatment plan includes the following:

  1. Pain Management: To manage pain, pain medications such as Acetaminophen, NSAIDs, or opioids may be prescribed.

  2. Rest: Typically, the patient is advised to avoid weight-bearing activities, and bed rest may be required for a period of time.

  3. Immobilization: A brace or cast may be used to immobilize the fracture site and allow for healing.

  4. Physical Therapy: Physical therapy may be recommended once the fracture has begun to heal to help restore mobility and strength to

  5. Surgery: Surgery may be required in rare cases where the fracture is severe or displaced to realign the bone fragments and stabilize the fracture site.

The treatment plan for a sacral fracture varies depending on the severity and location of the fracture, as well as the patient's overall health. As a result, it is critical to seek the advice of a healthcare professional to get a proper diagnosis and treatment strategy.

Conclusion

The term "sacral fracture" is not a recognized medical term. However, assuming the meant "sacral fracture," it is a fracture in the triangle-shaped spine's basal bone. Pain management, rest, immobilization, physical therapy, and, in rare cases, surgery are all common treatments. The course of treatment will change based on the severity and location of the fracture, as well as the patient's overall health. As a result, it is critical to seek medical attention and adhere to the recommended treatment plan to ensure proper healing and recovery.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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