ISOLATED TRANSVERSE SACRUM FRACTURE AND ITS IMPLICATIONS: A CASE

Öz

Fractures of the sacrum are uncommon and generally associated with fracture of the pelvis. Transverse fractures of the sacrum are even less frequent, and neurological deficit may accompany these fractures. A case of transverse fracture sacrum with cauda equina injury treated lately by sacral laminectomy and S1, S2 root decompression, is reported. Since the first case report of sacral fracture with injury to cauda equine, there have been sporadic reports of such fracture in the literature. We report an unusual case of transverse sacral fracture with neurological damage, which presented to our clinic after four months of injury

Anahtar Kelimeler

• Transvers fracture
• trauma
• spinal injury
• sacrum

ISOLATED TRANSVERSE SACRUM FRACTURE AND ITS IMPLICATIONS: A CASE REPORT

Öz

Fractures of the sacrum are uncommon and generally associated with fracture of the pelvis. Transverse
fractures of the sacrum are even less frequent, and neurological deficit may accompany these fractures. A case of
transverse fracture sacrum with cauda equina injury treated lately by sacral laminectomy and S1, S2 root
decompression, is reported. Since the first case report of sacral fracture with injury to cauda equine, there have
been sporadic reports of such fracture in the literature. We report an unusual case of transverse sacral fracture
with neurological damage, which presented to our clinic after four months of injury.
Key Words: Transvers fracture, trauma, spinal injury, sacrum

Anahtar Kelimeler

• Transvers fracture
• trauma
• spinal injury
• sacrum

Kaynakça

1. Dussa CU, Soni BM: A hidden injury. Emerg Med J 21: 390–391, 2004
2. Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum.
3. Suicidal jumper’s fracture. Spine. 1985;10(9):838–845.
4. Gribnau AJ, van Hensbroek PB, Haverlag R, Ponsen KJ, Been HD, Goslings JC. U-shaped
5. sacral fractures: surgical treatment and quality of life. Injury. 2009; 40(10): 1040-1048.
6. Fountain SS, Hamilton RD, Jameson RM. Transverse fractures of the sacrum: a report of six
7. cases. J Bone Joint Surg 1977;59:486-489.
8. Harma A, Inan M, Ertem K. Isolated zone III vertical fracture of first sacral vertebra—a case

9. report. Acta Orthopaedica. 2005;76(3):451–452.
10. Vaccaro AR, Kim DH, Brodke DS, Harris M, Chapman JR, Schildhauer T, et al: Diagnosis
11. and management of sacral spine fractures. Instr Course Lect 53:375–385, 2004
12. Ebraheim NA, Biyani A, Salpietro B: Zone III fractures of the sacrum. A case report. Spine 21:2390–2396, 1996
13. Fountain SS, Hamilton RD, Jameson RM: Transverse fractures of the sacrum. A report of six
14. cases. J Bone Joint Surg Am 59: 486–489, 1977
15. Phelan ST, Jones DA, Bishay M: Conservative management of transverse fractures of the
16. sacrum with neurological features. Areport of four cases. J Bone Joint Surg Br 73:969–971,
17. -
18. Zelle BA, Gruen GS, Hunt T, Speth SR: Sacral fractures with neurological injury: is early
19. decompression beneficial? Int Orthop 28:244–251, 2004
20. Hessman M, Degreif J, Mayer A, Atahi S, Rommens PM: Transverse sacral fracture with
21. intrapelvic intrusion of the lum- bosacral spine: case report and review of literature. J Trauma
22. :754–757, 2000
23. Kim MY , Reidy DP , Nolan PC, Finkelstein JA: Transverse sacral fractures: case series and
24. literature review. Can J Surg 44: 359–363, 2001
25. Schildhauer TA, Josten Ch, Muhr G. Triangular osteosynthesis of vertically unstable sacrum
26. fractures: a new concept allowing early weight-bearing. J Orthop Trauma. 2006; 20(1 Suppl):
27. S44-51.
28. Schildhauer TA, Ledoux WR, Chapman JR, Henley MB, Tencer AF, Routt ML Jr. Triangular
29. osteosynthesis and iliosacral screw fixation for unstable sacral fractures: A cadaveric and
30. biomechanical evaluation under cyclic loads. J Orthop Trauma. 2003; 17(1): 22-31.