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Updated: Jun 27, 2026
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Transverse fracture and dislocation at the sacrum
In Uk Lyo1, Soon Chan Kwon, Jun Bum Park
1Department of Neurological Surgery, Ulsan University Hospital, College of Medicine University of Ulsan, Ulsan, Korea.
Journal of Korean Neurosurgical Society
|December 20, 2008
Summary
This case report details a rare S1-S2 fracture-dislocation with pelvic instability and lumbar plexus injury. Surgical intervention successfully stabilized the pelvis and improved neurological function.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Trauma Management
Background:
- Sacral fracture-dislocations are uncommon spinal injuries.
- Lumbar plexus injuries often accompany severe pelvic trauma.
- Pelvic ring instability poses significant surgical challenges.
Observation:
- A rare fracture-dislocation involving the first (S1) and second (S2) sacral vertebrae was identified.
- The S1 vertebra demonstrated anterior displacement into the pelvic cavity, positioned anterior to S2.
- The patient presented with extensive neurological deficits affecting the lumbar plexus and significant pelvic ring instability.
Findings:
- Surgical stabilization of the pelvic ring was successfully performed.
- Decompression of the injured lumbar plexus was achieved during the procedure.
- The patient exhibited marked improvement in neurological function post-operatively.
Implications:
- This case highlights the successful surgical management of a complex sacral fracture-dislocation.
- Effective treatment can restore pelvic stability and improve neurological outcomes in severe spinal trauma.
- Highlights the importance of prompt surgical intervention for combined pelvic and neurological injuries.
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