Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: Case report

Marcelo D. Vilela, Charles Jermani, Bruno P. Braga

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Background: U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. Objective: to report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-years-old man. Method: Decompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws. Results: restitution of lumbosacropelvic stability and recovery of sphincter function. Conclusion: Lumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.

Original languageEnglish (US)
Pages (from-to)865-868
Number of pages4
JournalArquivos de Neuro-Psiquiatria
Volume65
Issue number3 B
DOIs
StatePublished - Sep 2007

Keywords

  • Lumbopelvic fixation
  • Sacral fracture
  • Sacral roots
  • U-shaped

ASJC Scopus subject areas

  • Clinical Neurology
  • Biological Psychiatry

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