Smoking places the patient at risk for increased time to union and complications. Previous smoking history also appears to increase the risk of osteomyelitis and increased time to union. The results highlight the need for orthopaedic surgeons to encourage their patients to enter a smoking cessation programs.

Incomplete lateral compression sacral fractures that are associated with ipsilateral rami fractures can be treated nonoperatively and are unlikely to displace. In contrast, those with a complete sacral fracture and bilateral rami fractures displace at a significantly greater rate.