Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy
Introduction Combined injury, as a cause of death, occupies a central place in different age groups and is common for individuals ages 50 and younger. Most sacral fractures are traditionally repaired with screw or plate. However, the fixation can be unreliable in atypical anatomy of the upper sacr...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2022-12-01
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| Series: | Гений oртопедии |
| Subjects: |
| _version_ | 1798006204412198912 |
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| author | Ruslan I. Zakirov Ildar F. Ahtyamov Gulnara M. Fayzrakhmanova |
| author_facet | Ruslan I. Zakirov Ildar F. Ahtyamov Gulnara M. Fayzrakhmanova |
| author_sort | Ruslan I. Zakirov |
| collection | DOAJ |
| description | Introduction Combined injury, as a cause of death, occupies a central place in different age groups and is common for individuals ages 50 and
younger. Most sacral fractures are traditionally repaired with screw or plate. However, the fixation can be unreliable in atypical anatomy of the upper
sacral segment, U-shaped and H-shaped fractures, compression of nerve structures and failed fixation. Material and methods Reported is a case of
a 29-year-old patient who suffered a severe concomitant injury including comminuted fracture-dislocation of the sacrum complicated by caudopathy.
Results A good clinical and anatomical result was obtained. She developed a complete regression of neurological symptoms. The patient could ambulate
without additional support. The function of the pelvic organs was restored. Discussion For a comparison, two methods were presented: lumbopelvic
fixation using two rods and a transverse buckle and triangular fixation with a rod and an additional iliosacral screw. Lumbopelvic fixation is a surgical
procedure for unstable pelvic ring injuries that allows immediate weight-bearing. Biomechanical tests showed greater primary stability with triangular
lumbopelvic fixation than iliosacral fixation with no stress to the injured area. Bilateral lumbopelvic fixation with a transverse buckle allowed secure
fixation of the lumbopelvic junction for fracture healing, protection of the sacroiliac joints preventing the development of transitional kyphosis and
maintaining the spine balance with careful surgical handling of the soft tissues. |
| first_indexed | 2024-04-11T12:52:22Z |
| format | Article |
| id | doaj.art-f0ad77af77744b7ca4cace50f5666665 |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-04-11T12:52:22Z |
| publishDate | 2022-12-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-f0ad77af77744b7ca4cace50f56666652022-12-22T04:23:11ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2022-12-0128683784110.18019/1028-4427-2022-28-6-837-841Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathyRuslan I. Zakirov0https://orcid.org/0000-0002-5747-2573Ildar F. Ahtyamov1https://orcid.org/0000-0002-4910-8835Gulnara M. Fayzrakhmanova2https://orcid.org/0000-0003-0023-8425Kazan State Medical University, Kazan, Russian Federation; City Clinical Hospital No. 7, Kazan, Russian FederationKazan State Medical University, Kazan, Russian FederationKazan State Medical University, Kazan, Russian FederationIntroduction Combined injury, as a cause of death, occupies a central place in different age groups and is common for individuals ages 50 and younger. Most sacral fractures are traditionally repaired with screw or plate. However, the fixation can be unreliable in atypical anatomy of the upper sacral segment, U-shaped and H-shaped fractures, compression of nerve structures and failed fixation. Material and methods Reported is a case of a 29-year-old patient who suffered a severe concomitant injury including comminuted fracture-dislocation of the sacrum complicated by caudopathy. Results A good clinical and anatomical result was obtained. She developed a complete regression of neurological symptoms. The patient could ambulate without additional support. The function of the pelvic organs was restored. Discussion For a comparison, two methods were presented: lumbopelvic fixation using two rods and a transverse buckle and triangular fixation with a rod and an additional iliosacral screw. Lumbopelvic fixation is a surgical procedure for unstable pelvic ring injuries that allows immediate weight-bearing. Biomechanical tests showed greater primary stability with triangular lumbopelvic fixation than iliosacral fixation with no stress to the injured area. Bilateral lumbopelvic fixation with a transverse buckle allowed secure fixation of the lumbopelvic junction for fracture healing, protection of the sacroiliac joints preventing the development of transitional kyphosis and maintaining the spine balance with careful surgical handling of the soft tissues.case reportcombined injurysacral fracturelumbopelvic fixation |
| spellingShingle | Ruslan I. Zakirov Ildar F. Ahtyamov Gulnara M. Fayzrakhmanova Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy Гений oртопедии case report combined injury sacral fracture lumbopelvic fixation |
| title | Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy |
| title_full | Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy |
| title_fullStr | Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy |
| title_full_unstemmed | Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy |
| title_short | Successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy |
| title_sort | successful treatment of a patient with multiple trauma including dislocated sacral fracture complicated with caudopathy |
| topic | case report combined injury sacral fracture lumbopelvic fixation |
| work_keys_str_mv | AT ruslanizakirov successfultreatmentofapatientwithmultipletraumaincludingdislocatedsacralfracturecomplicatedwithcaudopathy AT ildarfahtyamov successfultreatmentofapatientwithmultipletraumaincludingdislocatedsacralfracturecomplicatedwithcaudopathy AT gulnaramfayzrakhmanova successfultreatmentofapatientwithmultipletraumaincludingdislocatedsacralfracturecomplicatedwithcaudopathy |