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[Postpartal atraumatic sacral fracture. A case report and biomechanical comments]
1Anatomický ustav, 2. lékarská fakulta, Univerzita Karlova, Praha. rastislav.druga@lf1.cuni.cz
Ceska Gynekologie
|July 24, 2008
Summary
Nontraumatic sacral stress fractures are rare postpartal complications. This case report details a vertical sacral wing fracture in a woman after childbirth, highlighting biomechanical factors.
Area of Science:
- Orthopedics
- Radiology
- Obstetrics & Gynecology
Background:
- Pelvic girdle stress fractures can occur during pregnancy and the postpartum period.
- Nontraumatic sacral fractures are uncommon complications, often associated with increased biomechanical stress.
Observation:
- A 36-year-old woman presented with left L5 radiculopathy following her second delivery.
- Magnetic Resonance Imaging (MRI) revealed a vertical fracture of the left sacral wing (Denis Type I).
- The fracture was accompanied by significant bone marrow edema.
Findings:
- The case demonstrates a rare instance of a nontrauma-related sacral stress fracture in the postpartum period.
- The fracture pattern was a vertical split of the sacral wing, adjacent to the sacroiliac joint.
- Radiculopathy symptoms were attributed to the sacral fracture and associated edema.
Implications:
- This case underscores the importance of considering sacral stress fractures in postpartum patients with radicular symptoms.
- Understanding biomechanical factors during pregnancy and postpartum is crucial for preventing such injuries.
- Further research into the biomechanics of pelvic stress fractures in this population is warranted.
