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¹Alanya Alaaddin Keykubat Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Antalya, Türkiye Biomechanically, the sacrum is an osseous structure that transfers load from the spinal column, which is located at the center of the strength components of the body, to the pelvis. The axial force in the spine is located in front of the sacroiliac joint and it forms a forward rotational force centered on the second sacral vertebra. As traumas that are severe enough to cause a fracture in the sacrum may also typically cause serious injuries in the other parts of the body, their diagnosis may be overlooked, causing delays in the treatment needed by patients. Although an individual treatment plan is required for each patient, it is essential to differentiate whether the patient is stabile or unstable. There are a variety of conservative and surgical treatment options in the treatment of sacrum fractures. The present study aimed to attract attention to sacrum fractures and discuss the diagnosis and treatment methods for patients in the light of the literature. Anahtar Kelimeler : Fracture, Instability, Sacrum, Treatment