Monograph:

Sacral dysmorphism is a critical anatomical variation with significant implications for pelvic trauma management and surgical fixation techniques. Its complex morphology affects osseous fixation pathways (OFPs), posing challenges in iliosacral screw placement and increasing the risk of iatrogenic injury. This study explores the prevalence, classification, and surgical relevance of sacral dysmorphism, providing insights into optimizing preoperative planning and improving patient outcomes.
This research was made possible through the support of Moi University, my colleagues, and the radiology and orthopaedic teams at MTRH. Their guidance, collaboration, and access to essential clinical data were invaluable in shaping this work.
I extend my deepest gratitude to my mentors, peers, and all those who contributed to this study in various capacities. Their insights and encouragement have played a crucial role in its completion.

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