## Overview Sacral fracture is a break through the body of the sacrum, usually from falling or rearing backward. It frequently damages the sacral nerve roots, producing acute severe hind-limb weakness or paralysis, tail paralysis, and urinary and fecal incontinence. Many horses are unable to rise. The injury is often catastrophic. ## Causes High-energy trauma to the hindquarters, especially falling backward. ## Diagnosis Clinical neurologic signs and radiographs or advanced imaging when feasible. ## Treatment Supportive care only. Most horses with significant neurologic deficits are euthanized. Mild cases may be rested. ## Recovery and Prognosis Poor to grave when nerve roots are damaged. ## Prevention Safe handling to reduce rearing and falling risks.
acute severe hind-limb weakness or paralysis; tail paralysis; urinary and fecal incontinence; inability to rise
## Overview Sacral fracture is a break through the body of the sacrum, usually from falling or rearing backward. It frequently damages the sacral nerve roots, producing acute severe hind-limb weakness or paralysis, tail paralysis, and urinary and fecal incontinence. Many horses are unable to rise. The injury is often catastrophic. ## Causes High-energy trauma to the hindquarters, especially falling backward. ## Diagnosis Clinical neurologic signs and radiographs or advanced imaging when feasible. ## Treatment Supportive care only. Most horses with significant neurologic deficits are euthanized. Mild cases may be rested. ## Recovery and Prognosis Poor to grave when nerve roots are damaged. ## Prevention Safe handling to reduce rearing and falling risks.
acute severe hind-limb weakness or paralysis; tail paralysis; urinary and fecal incontinence; inability to rise