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

South East Asia Journal of Medical Sciences

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Title A Narrow Escape. High-energy Comminuted Fractures of Sacrum and Pelvis – are they always associated with neurological deficits? A report of two cases.
 
Creator Raj, Nijanth M
Chohan, Shakil A
Prasanna, Kappaganthu V
 
Subject Rehabilitation Medicine, Spine Surgery, Orthopaedic Surgery, Neurosurgery
High-energy impact fractures; Sacral fractures; Denis classification of sacral fractures; Neurological injury with sacral fractures; Pelvic trauma; Polytrauma.
 
Description 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.
 
Publisher Little Bay Publishers
 
Contributor Shakil A Chohan, MRCP,FRCP, Department of Geriatrics, Changi General Hospital, Singapore
Dr Kappaganthu V Prasanna, MRCS,FAMS, Department of Rehabilitation Medicine, Changi General Hospital, Singapore
 
Date 2019-10-20
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format text/html
application/pdf
 
Identifier https://littlebaypublishers.com/index.php/seajournalms/article/view/51
 
Source South East Asia Journal of Medical Sciences; Volume 3, Issue 3; 2019.; 5-6
2522-7165
2520-7342
 
Language eng
 
Relation https://littlebaypublishers.com/index.php/seajournalms/article/view/51/42
https://littlebaypublishers.com/index.php/seajournalms/article/view/51/45
 
Rights Copyright (c) 2019 Nijanth M Raj, Shakil A Chohan, Kappaganthu V Prasanna
https://creativecommons.org/licenses/by-nc-sa/4.0
 

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