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Related Experiment Video

Updated: May 8, 2026

Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Isolated sacral dislocation in a 4-year-old child.

Mustafa Isik¹, Mehmet Subasi, Oguz Cebesoy

¹University of Gaziantep, Gaziantep, Turkey. drmustafaisik@yahoo.com

BMJ Case Reports

|August 23, 2013

Summary

This summary is machine-generated.

This case study highlights a rare childhood sacral dislocation from a motor vehicle accident. Prompt diagnosis and conservative management led to complete fusion and normal function recovery.

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Area of Science:

Pediatric Traumatology
Orthopedic Surgery
Radiology

Background:

Sacral dislocation is a rare pediatric injury, often resulting from significant trauma.
Early diagnosis is crucial for effective management and preventing long-term complications.

Observation:

A 4-year-old female sustained a sacral dislocation (L4-S1) after a motor vehicle accident.
Initial physical exam revealed abdominal and sacral tenderness; radiographs were inconclusive.
Computed tomography (CT) identified dislocations at the third and fourth sacral vertebrae without fractures.

Findings:

The patient underwent conservative management with bed rest.
Follow-up imaging (radiographs and MRI) at one year showed complete bony fusion.
No neurological compromise or functional deficits were observed post-recovery.

Implications:

This case underscores the utility of CT in diagnosing subtle sacral dislocations in children.
Conservative treatment can be effective for pediatric sacral dislocations without associated fractures.
Early mobilization and functional recovery are achievable with appropriate management.