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Chronic Pelvic Diastasis 22 Years After Twin Natural Delivery: A Case Report
Raffaele Pascarella1, Pasquale Sangiovanni, Rossana Fantasia
1Section of Orthopaedics and Trauma Surgery, Ospedali Riuniti, Ancona, Italy.
Case:
We present here a case of chronic pelvic separation 22 years after twin natural delivery in a 49-year-old woman surgically treated with anterior and posterior stabilization. The functional and radiological recovery after a 4-year follow-up was extremely good.
Conclusion:
Postpartum pubic symphysis diastasis is a rare but dreaded complication of natural delivery. Nonoperative treatment is still considered the gold standard. However, when pain persists despite nonoperative treatment and when a pelvic radiograph reveals a pubic diastasis greater than 2 cm, surgery is recommended. In the case of low back pain because of sacroiliac joint lesions, posterior fixation is indicated.
