Cargando…
Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia
INTRODUCTION: Osteoporosis is a common secondary complication of spinal cord injury, with fragility fractures typically occurring in the lower body and management often is conservative. CASE PRESENTATION: We present a 52-year-old male with chronic complete tetraplegia who presented to the emergency...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7979759/ https://www.ncbi.nlm.nih.gov/pubmed/33741891 http://dx.doi.org/10.1038/s41394-021-00393-7 |
_version_ | 1783667330715222016 |
---|---|
author | Petriello, Marla A. Groah, Suzanne Matiana, Suman D. |
author_facet | Petriello, Marla A. Groah, Suzanne Matiana, Suman D. |
author_sort | Petriello, Marla A. |
collection | PubMed |
description | INTRODUCTION: Osteoporosis is a common secondary complication of spinal cord injury, with fragility fractures typically occurring in the lower body and management often is conservative. CASE PRESENTATION: We present a 52-year-old male with chronic complete tetraplegia who presented to the emergency room with unremitting autonomic dysreflexia (AD). He was admitted for medical management of the AD when a source of the AD could not be identified. After an extensive workup, the patient was found to have bilateral sacral insufficiency fractures. He subsequently underwent sacroplasty with immediate and full resolution of AD symptoms and return to full premorbid function within 24 h. DISCUSSION: People with chronic spinal cord injury (SCI) are at risk for spinal column fragility fractures in addition to lower extremity fractures. Vertebroplasty may be a safe option for treatment of insufficiency fractures in situations where conservative care may put people at risk for significant immobility-associated complications. |
format | Online Article Text |
id | pubmed-7979759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-79797592021-04-12 Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia Petriello, Marla A. Groah, Suzanne Matiana, Suman D. Spinal Cord Ser Cases Case Report INTRODUCTION: Osteoporosis is a common secondary complication of spinal cord injury, with fragility fractures typically occurring in the lower body and management often is conservative. CASE PRESENTATION: We present a 52-year-old male with chronic complete tetraplegia who presented to the emergency room with unremitting autonomic dysreflexia (AD). He was admitted for medical management of the AD when a source of the AD could not be identified. After an extensive workup, the patient was found to have bilateral sacral insufficiency fractures. He subsequently underwent sacroplasty with immediate and full resolution of AD symptoms and return to full premorbid function within 24 h. DISCUSSION: People with chronic spinal cord injury (SCI) are at risk for spinal column fragility fractures in addition to lower extremity fractures. Vertebroplasty may be a safe option for treatment of insufficiency fractures in situations where conservative care may put people at risk for significant immobility-associated complications. Nature Publishing Group UK 2021-03-19 /pmc/articles/PMC7979759/ /pubmed/33741891 http://dx.doi.org/10.1038/s41394-021-00393-7 Text en © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Case Report Petriello, Marla A. Groah, Suzanne Matiana, Suman D. Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
title | Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
title_full | Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
title_fullStr | Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
title_full_unstemmed | Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
title_short | Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
title_sort | treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7979759/ https://www.ncbi.nlm.nih.gov/pubmed/33741891 http://dx.doi.org/10.1038/s41394-021-00393-7 |
work_keys_str_mv | AT petriellomarlaa treatmentofbilateralsacralinsufficiencyfractureswithsacroplastyinapatientwithmotorcompletetetraplegia AT groahsuzanne treatmentofbilateralsacralinsufficiencyfractureswithsacroplastyinapatientwithmotorcompletetetraplegia AT matianasumand treatmentofbilateralsacralinsufficiencyfractureswithsacroplastyinapatientwithmotorcompletetetraplegia |