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CT scan of the abdomen
11%
5/44
Judet views of the pelvis
9%
4/44
MRI scan of the lumbar spine
45%
20/44
Lateral radiograph of the sacrum
30%
13/44
Electromyography of the lumbosacral plexus
5%
2/44
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The patient has a U-type fracture of the sacrum. The best way to visualize this fracture is with a lateral view of the sacrum or sagittal reformatted images of the CT scan. Standard pelvic radiographs often miss this injury. A high index of suspicion must be maintained for a transverse fracture component (H- or U-type fracture) in a patient with bilateral sacral injuries, especially without any anterior pelvic ring fractures. This injury occurs by a different mechanism than pelvic ring disruptions, thus the sacrum will fracture oftentimes without associated anterior pelvic injuries. These injuries have a high rate of associated neurologic injury. Treatment of these injuries varies based on neurologic compromise and displacement.
1.7
(18)
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