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VERTICAL FRACTURE OF THE SACRAL ALA

SIGNIFICANCE OF NON-CONTINUITY OF THE ANTERIOR SUPERIOR SACRAL FORAMINAL LINE

CURTIS H. NORTHROP M.D.1, ROSS T. ETO M.D.2, and JOHN W. LOOP M.D.3

1 Instructor, Department of Radiology, University of Washington and Staff Radiologist, Harborview Medical Center, Seattle, Washington.
2 Resident, Department of Radiology, University of Washington, Seattle, Washington.; Department of Radiology, Children's Hospital, Los Angeles, California.
3 Professor, Department of Radiology, University of Washington and Chief, Department of Radiology, Harborview Medical Center, Seattle, Washington.

The importance of the evaluation of the continuity of the anterior superior sacral foraminal line was determined in a review of 16 vertical fractures of the sacral ala.

On initial evaluation 11 of the 16 fractures (70 per cent) had not been identified. The results of analysis of 70 consecutive routine pelvic roentgenograms is reported with emphasis on the anterior superior sacral foraminal line.

The value of tomography in the difficult case is emphasized.

Reported in greater detail are 2 cases of isolated sacral fracture, heretofore considered a rare lesion.


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