Transverse sacral fracture-dislocation with anterior displacement in 13 year old female: A case report

Abstract

Introduction: Sacrum fractures are rare pathologies seen after spinal traumas. The incidence of a sacral fracture after trauma is 0.6% in childhood. Case presentation: A 13-year-old girl was admitted to our emergency room after having suffered a fall. Radiological tests revealed S1 S2 fracture dislocation. Appropriate load distribution through a spino-pelvic fixation as well as neural decompression were performed together with an S1–S2 partial laminectomy.Post operatively iliac screws started impinging so all the screws were removed 3 months post operatively. At one year follow - up patient is walking pain free without any neurological deficit.Conclusion: It is very difficult to make a generalization for treatment of sacral fracture dislocation due to small number of patients. Each patient should be individualized and lumbosacroiliac instability should be treated.