Spine Case 12 ED Management

Uncomplicated, non-displaced sacral fractures are managed conservatively with pain control and prompt orthopedic follow up.

Temporary reduction, skeletal traction, external fixation or pelvic angiography may be required when the sacral fracture is either displaced or comminuted, or when it is associated with displaced pelvic ring fractures. These complicated fractures require orthopedic consultation in the ED.

Displaced sacral fractures usually require surgical fixation if the fracture is displaced greater than 1cm.