L5椎体创伤性骶化伴严重伸展型脊柱骨盆分离：一例报告。
Traumatic sacralization of L5 vertebra with severe extension type spinopelvic dissociation: A case report.
作者信息
Al Eissa Sami, Taha Wael, Alhelal Fahad, Abaalkhail Majed S, Al Turki Abdulaziz, Benmeakel Mohammed, Konbaz Faisal
机构信息
Department of Surgery, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Health Affairs-Ministry of National Guard, Riyadh, Saudi Arabia.
Prince Mohammed Bin Abdulaziz Hospital, Health affairs-Ministry of National Guard, Al Madina, Saudi Arabia.
出版信息
Trauma Case Rep. 2020 Jul 29;29:100338. doi: 10.1016/j.tcr.2020.100338. eCollection 2020 Oct.
BACKGROUND
Spinopelvic dissociation is considered a very complex orthopedic injury. The presence of intrapelvic displacement and L5 traumatic sacralization makes our report a very rare presentation.
THE CASE
A 60-year-old gentleman presented with a rare traumatic fracture dislocation of the lumbosacral complex with intrapelvic displacement and L5 sacralization; treated with two surgical stages: 1) pelvic external fixation and posterior pelvic tension band plate, and 2) T10 to pelvis posterior fixation.
CONCLUSION
Intrapelvic displacement of S1 in the presence of spinopelvic dissociation is very rare injury that requires high mechanism of injury, surgical management is important to improve functional outcome.
背景
脊柱骨盆分离被认为是一种非常复杂的骨科损伤。骨盆内移位和L5创伤性骶化的存在使得我们的病例报告成为一种非常罕见的情况。
病例
一名60岁男性患者，出现罕见的腰骶部复合体创伤性骨折脱位，伴有骨盆内移位和L5骶化；分两个手术阶段进行治疗：1）骨盆外固定和骨盆后张力带钢板固定，2）T10至骨盆后路固定。
结论
在脊柱骨盆分离的情况下，S1骨盆内移位是一种非常罕见的损伤，需要高能量损伤机制，手术治疗对于改善功能预后很重要。
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