ArticleCase reports in orthopedics2019
Lumbopelvic Fixation for Sacral Insufficiency Fracture Presenting with Sphincter Dysfunction.
Article in Case reports in orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Fragility Fractures of the Pelvic Ring: Analysis of Epidemiology, Treatment Concepts, and Surgical Strategies from the Registry of the German Pelvic Multicenter Study Group.Journal of clinical medicine · 2025Article
- Outcomes of Lumbosacral Fixation in Patients with Suicidal Jumper's Fractures: A Retrospective Study from a Single Center in Turkey.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Fragility Fractures of the Pelvis and Sacrum: Current Trends in Literature.Hip & pelvis · 2022Review
- Short-term outcome of fragility fractures of the pelvis in the elderly treated with screw osteosynthesis and external fixator.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Acute Neurological Deficit Due to Sacral Insufficiency Fracture With Coexistent Severe Lumbar Canal Stenosis: A Case Report.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022Article
- Clinical Outcome of Sacroiliac Rod Fixation for Fragility Fracture of the Pelvis Rommens and Hoffman Classification Type IVb: Case Series.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Sacral fractures: issues, challenges, solutions.EFORT open reviews · 2020Review
- Sacral Insufficiency Fractures: a Review of Risk Factors, Clinical Presentation, and Management.Current pain and headache reports · 2020Review
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Sacral insufficiency fractures (SIFs) are common in the elderly. In patients with SIF, objective neurological abnormalities such as sphincter dysfunction or leg paresthesia are uncommon. We present a case of SIF accompanied by spinopelvic dissociation with late neurological compromise treated by spinopelvic fixation. A 61-year-old woman presented to our hospital with low back pain without obvious trauma history. She had a past history of eosinophilic granulomatosis with polyangiitis and treatment with steroids. Her low back pain became worse, and she started to have radiating left posterior thigh pain and motor weakness in the left ankle and both great toes with symptoms of stress urinary incontinence, constipation, and loss of anal sensation. Magnetic resonance imaging revealed an H-shaped sacrum fracture. We attributed the neurological symptoms to unstable SIF and performed lumbopelvic fixation. After the surgery, her leg pain and symptoms of stress urinary incontinence improved markedly, as did anal sensation. At a 6-month follow-up, the patient reported no low back pain and she was walking independently without pelvic complaints. CT showed bone union was achieved. Even minimally displaced SIF in patients with osteoporosis can be a cause of bowel and bladder disturbance. Lumbopelvic fixation is a treatment option for SIF with spinopelvic dissociation presenting neurological deficit.
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