Hadley M N, Carter L P
Neurosurgery. 1985 Jun;16(6):843-6. doi: 10.1227/00006123-198506000-00022.
A patient who sustained an isolated transverse sacral fracture is presented. A large ventral sacral pseudomeningocele with cerebrospinal fluid (CSF) fistula developed. Eighteen previous cases of traumatic pseudomeningocele have been documented. A review of those cases leads these authors to conclude that: transverse sacral fractures are rare and have not been reported in association with a pseudomeningocele formation; at the 4th sacral vertebra, this is the lowest reported pseudomeningocele; and CSF fistula with sacral fracture is distinctly uncommon, reported in only one previous case. The presenting symptoms, diagnostic evaluation, treatment, and prognosis are discussed.
本文报告了一例单纯性骶骨横行骨折患者。该患者出现了一个伴有脑脊液（CSF）瘘的巨大骶骨腹侧假性脑脊膜膨出。此前已有18例创伤性假性脑脊膜膨出的病例记录。对这些病例的回顾使作者得出以下结论：骶骨横行骨折罕见，且此前未报告过与假性脑脊膜膨出形成相关的病例；在第4骶椎水平出现的假性脑脊膜膨出是有报告以来位置最低的；骶骨骨折合并脑脊液瘘明显少见，此前仅报告过1例。文中还讨论了患者的症状表现、诊断评估、治疗及预后情况。
