Transverse sacral fractures and concomitant late-diagnosed cauda equina syndrome

Bekmez, Senol; Demirkiran, HALİL; Caglar, Omer; Akel, Ibrahim; Acaroglu, Emre

doi:10.5505/tjtes.2014.21208

Transverse sacral fractures and concomitant late-diagnosed cauda equina syndrome

Bekmez S., Demirkiran G., Caglar O., Akel I., Acaroglu E.

ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, cilt.20, sa.1, ss.71-74, 2014 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 20 Sayı: 1
Basım Tarihi: 2014
Doi Numarası: 10.5505/tjtes.2014.21208
Dergi Adı: ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
Sayfa Sayıları: ss.71-74
Hacettepe Üniversitesi Adresli: Evet

Özet

Transverse sacral fractures in young patients occur with high-energy mechanisms. Because of the drawbacks in radiographic and neurologic evaluations of the sacral area in polytrauma patients, misdiagnosis is quite common. In this study, we aimed to report our clinical results in three patients with displaced transverse sacral fractures compromising the sacral canal and concomitant late-diagnosed (at least 48 hours) cauda equina syndrome. Bilateral lumbopelvic fixation, followed by sacral laminectomy and decompression, was performed in all patients. Despite the late-diagnosed cauda equina syndrome, we observed that surgical decompression and lumbopelvic fixation had positive effects on neurologic recovery, pain relief and early unsupported mobilization.