J Korean Fract Soc.  2010 Apr;23(2):232-235. 10.12671/jkfs.2010.23.2.232.

Fracture-Dislocation of S1 in 3-Year-Old Boy: A Case Report

• Ko SB
• Lee SW

• KMID: 1461553
• DOI: http://doi.org/10.12671/jkfs.2010.23.2.232

Abstract

Fracture-dislocation of the sacrum that has not yet fully developed is common in the distal sacrococcygeal joint of children, but this injury is rarely seen in 1st Sacrum. Most of these patients have a severe neurological deficit, so this injury generally requires surgical decompression. We managed a three year old patient who had a S1 fracture-dislocation without a neurological deficit, and the patient was treated with simple skin traction and bed rest without surgery. The child had a satisfactory result, so we report on this case with reviewing the relevant literatures.

Keyword

Sacrum; Fracture-dislocation; Pediatric

MeSH Terms

Bed Rest
Child
Decompression, Surgical
Humans
Joints
Preschool Child
Sacrum
Skin
Traction

Figure

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  Figure 1 Initial radiographs shows fracture-dislocation of 1st Sacrum in L-spine AP and Lateral views.

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  Figure 2 Fracture dislocation of 1st Sacrum is seen in sagittal section of MRI.

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  Figure 3 At 2 year later follow up. (A) Simple whole spine radiographs show good sagittal and frontal alignment. (B) CT show union of each pedicle, elongation of pedicle and remodeling state of 1st sacrum. (C) Gross photographs show good sagittal and frontal alignment.

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