Main indications
Essentially all closed A2 sacral fractures
Indications
Essentially all closed A2 sacral fractures
Contraindication
Open injury (debridement required)
NonoperativeA2 Non-displaced transverse fracture below S-I joint
2/2 – Treatment
1. Introduction
The decision for operative or nonoperative treatment of pelvic ring injuries is based on:
Fracture stability, displacement, and pattern
Patient factors
Surgical skill and availability of equipment
Pelvic ring stability is assessed by the type and location of fractures and joint injuries involving the pelvic ring.
2. Treatment
Local pain and tenderness can be significant and interfere with sitting. Walking and standing as well as bed bound activities will soon become tolerable.
Undisplaced lower sacral fractures will not require reduction but a donut cushion will relieve pain during sitting.
