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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...

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Autores principales: Petriello, Marla A., Groah, Suzanne, Matiana, Suman D.
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
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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.
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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
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