2° Spinal Surgery Unit, IRCCS Istituto Ortopedico Galeazzi, Milano, MI, Italy
2° Spinal Surgery Unit, IRCCS Istituto Ortopedico Galeazzi, Milano, MI, Italy.
BMJ Case Rep. 2024 Mar 12;17(3):e256319. doi: 10.1136/bcr-2023-256319.
Multilevel-instrumented fusion is a common surgical technique used to treat adult spinal deformity (ASD), but it can occasionally lead to rare complications such as sacral insufficiency fractures. The impact of sacral fractures on spinopelvic parameters, particularly pelvic incidence (PI), has not been thoroughly investigated even though they have been documented in the literature. Here, we present a case of a patient who underwent a for ASD. She underwent a revision surgery 18 months after the first procedure to treat brought on by a localised kyphosis of the rods. An asymptomatic sacral fracture was discovered during the radiological evaluation: the PI had increased from 71° to 103° between the 2 surgical procedures.
多节段融合是一种常用于治疗成人脊柱畸形（ASD）的常见手术技术，但偶尔会导致罕见的并发症，如骶骨不足骨折。尽管文献中有记载，但骶骨骨折对脊柱骨盆参数的影响，特别是骨盆入射角（PI），尚未得到彻底研究。在这里，我们介绍了一位接受 ASD 治疗的患者的病例。她在第一次手术后 18 个月接受了翻修手术，以治疗由于杆的局部后凸导致的后凸。在放射学评估中发现了一处无症状的骶骨骨折：两次手术之间 PI 从 71°增加到 103°。
