This study aimed to develop a surgical algorithm for sacral fractures based on the AO Spine Sacral Injury Classification System. A survey was sent to orthopedic and neurosurgeons worldwide, asking whether patients with different sacral fracture subtypes should undergo operative or non-operative management. The results were used to create a surgical algorithm. The consensus was that sacral fracture subtypes with a Sacral AO Spine Injury Score (AOSIS) of 5 or more should be treated operatively, while those with an AOSIS of 4 or less should generally be non-operative. For subtypes with an AOSIS of 3 or 4 associated with an anterior pelvic ring injury, intervention should be left to the surgeon’s discretion. This algorithm provides a basis for discussion and standard of care treatment development, but further validation is required.

– What’s new: A surgical algorithm for sacral fractures based on the AO Spine Sacral Injury Classification System.
– Importance: This algorithm can guide surgeons in deciding the appropriate treatment for sacral fractures.
– Contribution: The study provides a basis for discussion and the development of standard of care treatment.

Title: Advances in Tendinopathy Research: Best Papers from 2019 to 2023

Summary: This editorial reviews the most significant tendinopathy research from 2019 to 2023, highlighting the ‘best paper’ for each year. These papers have the potential to change tendon treatment practices. The selection process was challenging due to the high quality of research in this field. The authors invite feedback and suggestions for overlooked studies via the social media hashtag #JOSPTtendon.

Importance: This review provides a concise summary of the most impactful tendinopathy research over the past five years, potentially influencing future treatment approaches.

Contribution: By identifying and summarizing these key papers, the authors facilitate knowledge sharing and encourage discussion within the scientific community.