Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report

Background: Spinopelvic dissociation is considered a very complex orthopedic injury. The presence of intrapelvic displacement and L5 traumatic sacralization makes our report a very rare presentation. The case: A 60-year-old gentleman presented with a rare traumatic fracture dislocation of the lumbos...

Full description

Bibliographic Details
Main Authors: Sami Al Eissa, Wael Taha, Fahad Alhelal, Majed S. Abaalkhail, Abdulaziz al Turki, Mohammed Benmeakel, Faisal Konbaz
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644020300625
_version_ 1818259795095846912
author Sami Al Eissa
Wael Taha
Fahad Alhelal
Majed S. Abaalkhail
Abdulaziz al Turki
Mohammed Benmeakel
Faisal Konbaz
author_facet Sami Al Eissa
Wael Taha
Fahad Alhelal
Majed S. Abaalkhail
Abdulaziz al Turki
Mohammed Benmeakel
Faisal Konbaz
author_sort Sami Al Eissa
collection DOAJ
description Background: Spinopelvic dissociation is considered a very complex orthopedic injury. The presence of intrapelvic displacement and L5 traumatic sacralization makes our report a very rare presentation. The case: A 60-year-old gentleman presented with a rare traumatic fracture dislocation of the lumbosacral complex with intrapelvic displacement and L5 sacralization; treated with two surgical stages: 1) pelvic external fixation and posterior pelvic tension band plate, and 2) T10 to pelvis posterior fixation. Conclusion: Intrapelvic displacement of S1 in the presence of spinopelvic dissociation is very rare injury that requires high mechanism of injury, surgical management is important to improve functional outcome.
first_indexed 2024-12-12T18:21:07Z
format Article
id doaj.art-c9aa7a36c2534aaea6d9a19c8b0bf36b
institution Directory Open Access Journal
issn 2352-6440
language English
last_indexed 2024-12-12T18:21:07Z
publishDate 2020-10-01
publisher Elsevier
record_format Article
series Trauma Case Reports
spelling doaj.art-c9aa7a36c2534aaea6d9a19c8b0bf36b2022-12-22T00:16:08ZengElsevierTrauma Case Reports2352-64402020-10-0129100338Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case reportSami Al Eissa0Wael Taha1Fahad Alhelal2Majed S. Abaalkhail3Abdulaziz al Turki4Mohammed Benmeakel5Faisal Konbaz6Department of Surgery, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Health Affairs-Ministry of National Guard, Riyadh, Saudi ArabiaPrince Mohammed Bin Abdulaziz Hospital, Health affairs-Ministry of National Guard, Al Madina, Saudi ArabiaOrthopedic Surgery Division, Department of Surgery, King Abdulaziz Medical City (KAMC), Health Affairs-Ministry of National Guard, Riyadh, Saudi ArabiaOrthopedic Surgery Division, Department of Surgery, King Abdulaziz Medical City (KAMC), Health Affairs-Ministry of National Guard, Riyadh, Saudi ArabiaDepartment of Orthopedics, King Abdulaziz Medical City (KAMC), Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia; Corresponding author.Orthopedic Surgery Division, Department of Surgery, King Abdulaziz Medical City (KAMC), Health Affairs-Ministry of National Guard, Riyadh, Saudi ArabiaOrthopedic Surgery Division, Department of Surgery, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), King Abdulaziz Medical City (KAMC), Health Affairs-Ministry of National Guard, Riyadh, Saudi ArabiaBackground: Spinopelvic dissociation is considered a very complex orthopedic injury. The presence of intrapelvic displacement and L5 traumatic sacralization makes our report a very rare presentation. The case: A 60-year-old gentleman presented with a rare traumatic fracture dislocation of the lumbosacral complex with intrapelvic displacement and L5 sacralization; treated with two surgical stages: 1) pelvic external fixation and posterior pelvic tension band plate, and 2) T10 to pelvis posterior fixation. Conclusion: Intrapelvic displacement of S1 in the presence of spinopelvic dissociation is very rare injury that requires high mechanism of injury, surgical management is important to improve functional outcome.http://www.sciencedirect.com/science/article/pii/S2352644020300625Spinopelvic dissociationSacral fracturesSpinopelvic fixationTraumatic L5 sacralization
spellingShingle Sami Al Eissa
Wael Taha
Fahad Alhelal
Majed S. Abaalkhail
Abdulaziz al Turki
Mohammed Benmeakel
Faisal Konbaz
Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report
Trauma Case Reports
Spinopelvic dissociation
Sacral fractures
Spinopelvic fixation
Traumatic L5 sacralization
title Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report
title_full Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report
title_fullStr Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report
title_full_unstemmed Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report
title_short Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report
title_sort traumatic sacralization of l5 vertebra with severe extension type spinopelvic dissociation a case report
topic Spinopelvic dissociation
Sacral fractures
Spinopelvic fixation
Traumatic L5 sacralization
url http://www.sciencedirect.com/science/article/pii/S2352644020300625
work_keys_str_mv AT samialeissa traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport
AT waeltaha traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport
AT fahadalhelal traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport
AT majedsabaalkhail traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport
AT abdulazizalturki traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport
AT mohammedbenmeakel traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport
AT faisalkonbaz traumaticsacralizationofl5vertebrawithsevereextensiontypespinopelvicdissociationacasereport