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REFERENCES
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Fig. 1.
First case images of upper sacral fracture. (A) Sagittal initial CT scan shows type 1 upper sacral fracture with an anterior simple bending of the upper sacrum fragment. (B) Simple initial lateral radiogram shows upper sacral non-displaced fracture. (C) Simple radiologic image shows no differ-ences between initial and 6 months follow up studies.
Fig. 2.
Second case images of upper sacral fracture. (A) Sagittal initial CT scan shows type 2 upper sacral fracture with a posterior displacement of the upper fragment. (B) Simple initial lateral radiogram shows comminuted fractures with displacement. (C) Simple radiologic image shows malunion at 4 months follow up studies.
Fig. 3.
Third case images of upper sacral fracture. (A) Sagittal preoperative CT scan shows type 2 upper sacral fracture with a posterior displacement of the upper fragment. (B) Axial preoperative CT scan shows narrowing of sacral canal due to posterior translation of bony fragment. (C) Axial CT scan after laminectomy at level S1-S2 shows elimination of posterior wall of sacral canal. (D) Sagittal CT scan shows malunion of fracture site at 3 months follow up studies.
Fig. 4.
Forth case images of upper sacral fracture. (A) Sagittal preoperative CT scan shows type 3 upper sacral fracture with an anterior displacement of the upper fragment. (B) Axial preoperative CT scan shows narrowing of S1 foramen due to extruded bony fragment at fracture site. (C) Axial postoperative CT scan shows elimination of bony fragment in foramen. (D) Sagittal CT scan shows malunion of fracture site at 3 months follow up studies.
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