A Narrow Escape. High-energy Comminuted Fractures of Sacrum and Pelvis - are they always associated with neurological deficits? A report of two cases.

Journal: South East Asia Journal of Medical Sciences

Article type: Research Article

Published: 2019-10-20

Volume: 3; Issue: 3; Pages: 5-6

ISSN: 2522-7165

DOI: 10.5281/zenodo.3723454

Article URL: https://journals.littlebaypublishers.com/article/article-1783008461596-423196947

PDF: https://journals.littlebaypublishers.com/article/article-1783008461596-423196947.pdf

JATS XML: https://journals.littlebaypublishers.com/article/article-1783008461596-423196947.xml

Authors

  1. Nijanth M Raj
    Changi General Hospital
  2. Shakil A Chohan
    Not available, refer to PDF
  3. Kappaganthu V Prasanna
    Not available, refer to PDF

Abstract

High-energy impact sacral fractures after polytrauma are often assumed to be associated with significant neurological damage especially when the fractures are in Denis Zones 2 & 3 where the sacral foramina and canal are involved. We present two cases of high energy impact polytrauma with sacral fractures involving Denis Zone 2. Both these patients underwent spine instrumentation and stabilization surgeries; however, they did not have significant neurological damage despite the injury being close to the sacral foramina. Our findings in these two cases along with recent evidence suggest that the risk of lumbosacral plexus injury is not related to the zone of sacral fractures, but rather related to the displacement of the pelvis and with transverse fractures.

Keywords

High-energy impact fractures; Sacral fractures; Denis classification of sacral fractures; Neurological injury with sacral fractures; Pelvic trauma; Polytrauma.

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