Denis et al developed a classification system for vertical fractures involving the sacrum.
Vertical Fracture
Zone
alar, lateral to the lateral edges of the foramina
I
foraminal, running between 2 or more foramina
II
central sacral canal (midline, medial to the medial edges of the foramina
III
where:
• Fractures in Zone I may be oblique if there is avulsion of a bone fragment.
• A Zone II fracture may extend to a lateral margin and end in Zone I.
Complications:
(1) unstable pelvis
(2) neurologic damage
(3) CSF leakage
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Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
ICD-10: ,