Acta Chir Orthop Traumatol Cech. 2018; 85(2):149-152 | DOI: 10.55095/achot2018/024
Anterior Penetrating Sacral Injury in a 14-Year-Old Girl - a Case ReportCase report
- Klinika ortopedie a traumatologie pohybového ústrojí Fakultní nemocnice Plzeň
Anterior penetrating sacral injuries in children are extremely rare. These injuries are coupled with both a high energy mechanism (combat injury, motor vehicle accidents) and with foreign body impalement. The treatment is individual, laparotomy with penetrating wound exploration is indicated, osteosynthesis is performed in case of grossly displaced fractures, in an unstable injury to the posterior pelvic ring, and urgently in case of a neurological injury. The case report describes a 14-year-old girl with a left-sided anterior penetrating sacral injury at the level of S2/S3, who was injured during a bicycle accident (impalement on handlebars). The emergent laparotomy was performed first to treat the lesion of the sigmoid mesocolon. After 16 days the patient underwent the second operation, when open fragment reposition and sacral bone suture were performed. Both the sacral fracture and soft tissues were healed in 6 weeks. The patient was fully weight bearing and without pain.
Keywords: pediatric sacral fracture, penetration, treatment
Published: April 1, 2018 Show citation
References
- Abdelgawad AA, Davey S, Salmon J, Gurusamy P, Kanlic E. Ilio-Sacral (IS) Screw Fixation for Sacral and Sacroiliac Joint (SIJ) Injuries in Children. J Pediatr Orthop. 2016;36:117-121.
Go to original source...
Go to PubMed...
- Anderson ER, Grant HI 3rd, Weissman M. Penetrating glass injury to the sacral spine. Clin Med Res. 2010;18:114-115.
Go to original source...
Go to PubMed...
- Calonge WM, Alova I, Ramos MR, Martínez L, Lortat-Jacob S, Ochoa de Castro A, Lottmann H. Traumatic hemipelvectomy in children: report on 2 survivors with urological involvement. J Pediatr Surg. 2010;45:2260-2264.
Go to original source...
Go to PubMed...
- Dohin B, Parot R, Belliard H, Garin C, Kohler R. Transverse sacral fracture in children: a case report presenting with neurological injury and review of the literature. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:595-601.
Go to original source...
Go to PubMed...
- Dunne JR, Bochicchio GV, Scalea TM. A novel approach to the treatment of gunshot injuries to the sacrum. Am Surg. 2003;69:91-94.
Go to original source...
Go to PubMed...
- Džupa V, Havránek P, Matoušková E, Dittertová L. Surgical treatment the sacral fracture in childhood: case report and literature overview. Arch Orthop Trauma Surg. 2005;125:426-429.
Go to original source...
Go to PubMed...
- Hasankhani EG, Omidi-Kashani F. Treatment outcomes of open pelvic fractures associated with extensive perineal injuries. Clin Orthop Surg. 2013;5:263-268.
Go to original source...
Go to PubMed...
- Lam KS, Moulton A. Stress fracture of the sacrum in a child. Ann Rheum Dis. 2001;60:87-88
Go to original source...
Go to PubMed...
- Mamczak CN, Malish D, Boonstra O. A rare case of paediatric pelvic ring injury with lower urinary tract obstruction secondary to a combat blast mechanism. Injury. 2013;44:983-986.
Go to original source...
Go to PubMed...
- Piqueras C, Martínez-Lage JF, Almagro MJ, Ros De San Pedro J, Torres Tortosa P, Herrera A. Cauda equina-penetrating injury in a child. Case report. Neurosurg. 2006;104(4 Suppl):279-281.
Go to original source...
Go to PubMed...
- Serletis D, Khoshyomn S, Gerstle JT, Rutka JT. Anterior penetrating sacral injury in a child. Case illustration. J Neurosurg. 2005;103(5 Suppl):471.
Go to original source...
Go to PubMed...
- Schildhauer TA, Bellabarba C, Selznick HS, McRoberts D, Vedder NB, Chapman JR. Unstable pediatric sacral fracture with bone loss caused by a high-energy gunshotinjury. J Trauma. 2007;63:95-99.
Go to original source...
Go to PubMed...
- Schildhauer TA, Chapman JR, Mayo KA. Multisegmental open sacral fracture due to impalement: a case report. J Orthop Trauma. 2005;19:134-139.
Go to original source...
Go to PubMed...
- Stern LC, Moore TA. Nail gun injury to the sacrum: case report and review of the literature. Spine. 2011;6:1778-1780.
Go to original source...
Go to PubMed...