Publication:
Fracture lines and comminution zones of traumatic sacral fractures

dc.contributor.authorOğuzkaya, Sinan
dc.contributor.authorGüvercin, Yasin Semih
dc.contributor.authorKızkapan, Turan Bilge
dc.contributor.authorEken, Gökay
dc.contributor.authorArat, Feridun
dc.contributor.authorMısır, Abdulhamit
dc.contributor.buuauthorEKEN, GÖKAY
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı
dc.contributor.researcheridABE-9918-2021
dc.date.accessioned2024-10-11T07:49:59Z
dc.date.available2024-10-11T07:49:59Z
dc.date.issued2023-02-01
dc.description.abstractBACKGROUND: Sacral fractures are uncommon and understanding three-dimensional morphology is needed to obtain proper treatment. The purpose of this study was to identify the repeatable fracture patterns and comminution zones for traumatic sacral fractures and create fracture maps.METHODS: Computerized tomography images of 72 patients with traumatic sacral fracture were included in the study. For each fracture, fracture lines were identified and digitally reduced. All fractures were superimposed over a template and fracture maps; com-minution zones and heatmaps were created for each zone. RESULTS: There were 40 males and 32 females with a mean age of 46.5 +/- 19.9. Fifty-three (73.6%) patients sustained major trauma, and 19 (26.4%) had minor trauma. There were 37 (51.4%) Zone 1, 22 (30.6%) Zone 2, and 13 (18.1%) Zone 3 fractures. Each Denis zone showed certain fracture patterns. In Zone 1 fractures, most of the fracture lines were vertical and oblique (up to 45 degrees) orientation on both sides. In Zone 2 fractures, fracture lines were concentrated on the S1 and S2 levels. Anterolateral and posterolateral parts of the sacrum were less affected in right-side fractures. In Zone 3 fractures, fractures were concentrated in S1, S2, and S3 levels around the sacral canal. The median sacral crest and midline remained mostly unaffected.CONCLUSION: Sacral fractures showed specific repeatable patterns for each zone. These findings may be helpful for pre-operative planning, placement of fixation material, design of new implants, and modification of current fracture-classification systems.
dc.identifier.doi10.14744/tjtes.2022.15163
dc.identifier.eissn1307-7945
dc.identifier.endpage251
dc.identifier.issn1306-696X
dc.identifier.issue2
dc.identifier.startpage247
dc.identifier.urihttps://doi.org/10.14744/tjtes.2022.15163
dc.identifier.urihttps://jag.journalagent.com/travma/pdfs/UTD_29_2_247_251.pdf
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198334/
dc.identifier.urihttps://hdl.handle.net/11452/46269
dc.identifier.volume29
dc.identifier.wos000935595300016
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherTravma Acil Cerrahisi
dc.relation.journalUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectClassification
dc.subject3d
dc.subjectFracture pattern
dc.subjectHeatmap
dc.subjectMapping
dc.subjectSacral fracture
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectEmergency medicine
dc.titleFracture lines and comminution zones of traumatic sacral fractures
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublicatione043d6c8-a59d-46d5-acab-ac7843a03433
relation.isAuthorOfPublication.latestForDiscoverye043d6c8-a59d-46d5-acab-ac7843a03433

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