Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report

BACKGROUND: Spinopelvic dissociation is considered a very complex orthopedic injury. The presence of intrapelvic displacement and L5 traumatic sacralization makes our report a very rare presentation. THE CASE: A 60-year-old gentleman presented with a rare traumatic fracture dislocation of the lumbos...

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Detalles Bibliográficos
Autores principales: Al Eissa, Sami, Taha, Wael, Alhelal, Fahad, Abaalkhail, Majed S., al Turki, Abdulaziz, Benmeakel, Mohammed, Konbaz, Faisal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7419664/
https://www.ncbi.nlm.nih.gov/pubmed/32802930
http://dx.doi.org/10.1016/j.tcr.2020.100338
Descripción
Sumario:BACKGROUND: Spinopelvic dissociation is considered a very complex orthopedic injury. The presence of intrapelvic displacement and L5 traumatic sacralization makes our report a very rare presentation. THE CASE: A 60-year-old gentleman presented with a rare traumatic fracture dislocation of the lumbosacral complex with intrapelvic displacement and L5 sacralization; treated with two surgical stages: 1) pelvic external fixation and posterior pelvic tension band plate, and 2) T10 to pelvis posterior fixation. CONCLUSION: Intrapelvic displacement of S1 in the presence of spinopelvic dissociation is very rare injury that requires high mechanism of injury, surgical management is important to improve functional outcome.

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