Laminoplasty for Treatment of Transverse Sacral Fracture: A Case Report

Young Soo Jang; Jak Jang; Sung Ju Bae; Chan Il Bae; Sung Bae Park

doi:10.12671/jkfs.2014.27.2.157

Journal List > J Korean Fract Soc > v.27(2) > 1037978

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Jang, Jang, Bae, Bae, and Park: Laminoplasty for Treatment of Transverse Sacral Fracture: A Case Report

Case Report

Journal of the Korean Fracture Society 2014; 27(2): 157-161.

Published online: 18 April 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.2.157

Laminoplasty for Treatment of Transverse Sacral Fracture: A Case Report

Young Soo Jang, M.D., Jak Jang, M.D., Sung Ju Bae, M.D., Chan Il Bae, M.D., Sung Bae Park, M.D.

Department of Orthopaedic Surgery, KEPCO Medical Foundation, Seoul, Korea.

Address reprint requests to: Jak Jang, M.D. Department of Orthopaedic Surgery, KEPCO Medical Foundation, 308 Uicheon-ro, Dobong-gu, Seoul 132-703, Korea. Tel: 82-2-901-3078, Fax: 82-2-900-1745, supercc@naver.com

Received 23 November 2013 Revised 17 December 2013 Accepted 20 January 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The transverse sacral fracture is rare; however, if it accompanies neurological injury or instability, difficult surgical treatment may be necessary. We performed surgical decompression and laminoplasty in a patient with neurological deficits and anterior displacement of S2 on S1. The patient showed a successful clinical outcome by neurological improvement.

Keywords: Sacrum, Transverse fracture, Decompression, Laminoplasty

Figures and Tables

Fig. 1

(A, B) Initial computed tomography scan shows a displaced comminuted sacral fracture with narrowing of the sacral canal at the S1-S2 level.

Fig. 2

Preoperative sagittal (A) and axial T1-weighted magnetic resonance (B), T2-weighted magnetic resonance (C) images showing left S1 nerve root compression due to a displaced S1 sacral body and hematoma.

Fig. 3

(A, B) Postoperative X-rays show surgical decompression by laminoplasty and stabilization by mini plates and screws.

Fig. 4

(A, B) Postoperative computed tomography shows the expanded central canal of the sacrum after laminoplasty.

Notes

Financial support: None.

Conflict of interest: None.

References

1. Denis F, Davis S, Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res. 1988; 227:67–81.

2. Fardon DF. Displaced transverse fracture of the sacrum with nerve root injury: report of a case with successful operative management. J Trauma. 1979; 19:119–122.

3. Fountain SS, Hamilton RD, Jameson RM. Transverse fractures of the sacrum. A report of six cases. J Bone Joint Surg Am. 1977; 59:486–489.

4. Carl A, Delman A, Engler G. Displaced transverse sacral fractures. A case report, review of the literature, and the CT scan as an aid in management. Clin Orthop Relat Res. 1985; (194):195–198.

5. Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine (Phila Pa 1976). 1985; 10:838–845.

6. Sapkas GS, Mavrogenis AF, Papagelopoulos PJ. Transverse sacral fractures with anterior displacement. Eur Spine J. 2008; 17:342–347.

7. Gibbons KJ, Soloniuk DS, Razack N. Neurological injury and patterns of sacral fractures. J Neurosurg. 72:889–893.

8. Byun YS, Chang SA. Sacral fractures. J Korean Fract Soc. 2011; 24:371–381.

9. Taller S, Lukás R, Suchomel P, Krivohlávek M. Surgical treatment of dislocated transverse fractures of the sacrum. Acta Chir Orthop Traumatol Cech. 2003; 70:151–157.

10. Ahn YJ, Yang BK, Yi SR, et al. The treatment of transverse fracture of the upper sacrum according to Roy-Camille classification (suicidal jumper's fracture): 4 cases report. J Korean Soc Spine Surg. 2012; 19:110–115.

TOOLS

Similar articles