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Related Experiment Videos

A hidden injury.

C U Dussa1, B M Soni

  • 1Regional Spinal Injuries Centre, Southport District General Hospital, Southport, UK. dussacu1@msn.com <dussacu1@msn.com>

Emergency Medicine Journal : EMJ
|April 27, 2004
PubMed
Summary
This summary is machine-generated.

Transverse sacral fractures can cause cauda equina syndrome, often going unnoticed initially. This case reveals a seemingly minor injury with a poor neurological outcome.

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Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Trauma Care

Background:

  • Transverse sacral fractures are rare injuries.
  • Cauda equina syndrome (CES) is a serious neurological condition.
  • Diagnosis of sacral fractures causing CES can be challenging.

Observation:

  • A patient presented with symptoms suggestive of cauda equina syndrome.
  • Initial assessment did not reveal significant findings.
  • A transverse sacral fracture was eventually identified as the cause.

Findings:

  • The sacral fracture was initially benign in presentation.
  • Despite the benign appearance, the fracture led to significant neurological deficit.
  • Delayed diagnosis contributed to the unfavorable outcome.

Implications:

  • Highlights the importance of considering sacral fractures in CES.
  • Emphasizes the need for high index of suspicion for subtle sacral injuries.
  • Underscores the potential for severe outcomes from seemingly minor trauma.