Sacral insufficiency fracture, a rare complication of posterior spinal instrumentation.

Clicks: 453
ID: 49093
2019
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Abstract
Sacral insufficiency fracture is a rare complication of the lumbar spinal surgery. It is normally reported as a late complication of the multi-segment spinal fixation in females with osteoporotic bone. We present the case of an elderly gentleman who suffered this complication spontaneously on the second postoperative day. To the best of our knowledge this has never been reported in Pakistan. Sacral alae are directly in line with weight bearingwhile walking and should be kept in mind when mobilizing a postoperative patient whose previous history indicates such risk factors. Once injury is suspected, CT scan is recommended as x-rays may not always reveal the injury. In literature, these fractures have almost always been treated conservatively.1 Conservative management wasnot tolerated well in our case and we proceeded with surgical management using S2 sacral alar iliac screws (S2 AI screws) to extend the previous lumbosacral fusion construct. S2 AI screws are a novel technique used for bone lumbosacral fusion and studies have shown to have lower rate of screw breakage under stress and need for revision surgery with their use.
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asad2019sacraljpma Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Asad, Asad;Junaid, Javeria;Hashmi, Imtiaz;
Journal jpma the journal of the pakistan medical association
Year 2019
DOI
DOI not found
URL URL not found
Keywords
sacral insufficiency, sacral fractures, spinal instrumentation complications.

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