Lumbopelvic Fixation for Sacral Insufficiency Fracture Presenting with Sphincter Dysfunction

Joint Authors

Ohtori, Seiji
Maki, Satoshi
Nakamura, Kaito
Yamauchi, Tomonori
Suzuki, Takeshi
Horii, Manato
Kawamura, Koui
Aramomi, Masaaki
Sugiyama, Hiroshi

Source

Case Reports in Orthopedics

Issue

Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2019-04-07

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Sacral insufficiency fractures (SIFs) are common in the elderly.

In patients with SIF, objective neurological abnormalities such as sphincter dysfunction or leg paresthesia are uncommon.

We present a case of SIF accompanied by spinopelvic dissociation with late neurological compromise treated by spinopelvic fixation.

A 61-year-old woman presented to our hospital with low back pain without obvious trauma history.

She had a past history of eosinophilic granulomatosis with polyangiitis and treatment with steroids.

Her low back pain became worse, and she started to have radiating left posterior thigh pain and motor weakness in the left ankle and both great toes with symptoms of stress urinary incontinence, constipation, and loss of anal sensation.

Magnetic resonance imaging revealed an H-shaped sacrum fracture.

We attributed the neurological symptoms to unstable SIF and performed lumbopelvic fixation.

After the surgery, her leg pain and symptoms of stress urinary incontinence improved markedly, as did anal sensation.

At a 6-month follow-up, the patient reported no low back pain and she was walking independently without pelvic complaints.

CT showed bone union was achieved.

Even minimally displaced SIF in patients with osteoporosis can be a cause of bowel and bladder disturbance.

Lumbopelvic fixation is a treatment option for SIF with spinopelvic dissociation presenting neurological deficit.

American Psychological Association (APA)

Maki, Satoshi& Nakamura, Kaito& Yamauchi, Tomonori& Suzuki, Takeshi& Horii, Manato& Kawamura, Koui…[et al.]. 2019. Lumbopelvic Fixation for Sacral Insufficiency Fracture Presenting with Sphincter Dysfunction. Case Reports in Orthopedics،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143081

Modern Language Association (MLA)

Maki, Satoshi…[et al.]. Lumbopelvic Fixation for Sacral Insufficiency Fracture Presenting with Sphincter Dysfunction. Case Reports in Orthopedics No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1143081

American Medical Association (AMA)

Maki, Satoshi& Nakamura, Kaito& Yamauchi, Tomonori& Suzuki, Takeshi& Horii, Manato& Kawamura, Koui…[et al.]. Lumbopelvic Fixation for Sacral Insufficiency Fracture Presenting with Sphincter Dysfunction. Case Reports in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143081

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1143081