Department of Spine Surgery, Ganga Hospital, 313 Mettupalayam Road, Coimbatore, Tamil Nadu, India.
Spine J. 2010 Feb;10(2):e10-3. doi: 10.1016/j.spinee.2009.11.014. Epub 2009 Dec 29.
Transverse sacral fracture in pediatric patients is extremely uncommon with only nine cases reported in literature so far.
The purpose of this study was to heighten awareness and treatment options of a rare injury of traumatic pediatric transverse sacral fracture with cauda equina syndrome.
This is a clinical case report and literature review.
We report a case of a 13-year-old girl with a Type III Roy-Camille, Zone III Denis sacral fracture whose only neurological deficit was a cauda equina syndrome with bowel and bladder involvement. She underwent emergent sacral laminectomy and surgical stabilization to decompress the cauda equina.
The patient regained bowel and bladder function at 6-month follow-up.
This case is presented to highlight the rarity of a pediatric transverse sacral fracture, which requires a high index of suspicion as early decompression helps in reversing the neurological deficit.
儿童横突骶骨骨折极为罕见，目前文献中仅报道了 9 例。
本研究旨在提高对创伤性儿童横突骶骨骨折伴马尾综合征这一罕见损伤的认识和治疗选择。
这是一个临床病例报告和文献复习。
我们报告了一例 13 岁女孩，Roy-Camille 分型为 III 型，Denis 分区为 III 区的骶骨骨折，唯一的神经功能缺损为马尾综合征，伴有肠和膀胱功能障碍。她接受了紧急的骶骨椎板切除术和手术固定以解除马尾神经压迫。
患者在 6 个月随访时恢复了肠和膀胱功能。
本病例旨在强调儿童横突骶骨骨折的罕见性，需要高度怀疑该病，因为早期减压有助于逆转神经功能缺损。
