Longitudinal fracture of the sacrum: case report.

A 51-year-old woman was involved in a motor vehicle crash, sustaining multiple injuries including a longitudinal displaced burst fracture of the sacrum associated with neurologic deficits and fractures of the pelvis. A computed tomographic scan was valuable in properly identifying the extent of the sacral fracture. Because of the neurologic deficits and displacement of the sacral fracture, decompression of the sacral canal and attempted reduction of the sacral fracture and fixation of the pelvic fracture were performed. The patient's neurologic deficits improved, and at last follow-up examination she was ambulating without assistance.