J Korean Fract Soc.  2014 Apr;27(2):157-161. 10.12671/jkfs.2014.27.2.157.

Laminoplasty for Treatment of Transverse Sacral Fracture: A Case Report

• Jang YS
• Jang J
• Bae SJ
• Bae CI
• Park SB

• KMID: 1703115
• DOI: http://doi.org/10.12671/jkfs.2014.27.2.157

Abstract

The transverse sacral fracture is rare; however, if it accompanies neurological injury or instability, difficult surgical treatment may be necessary. We performed surgical decompression and laminoplasty in a patient with neurological deficits and anterior displacement of S2 on S1. The patient showed a successful clinical outcome by neurological improvement.

Keyword

Sacrum; Transverse fracture; Decompression; Laminoplasty

MeSH Terms

Decompression
Decompression, Surgical
Humans
Sacrum

Figure

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  Fig. 1 (A, B) Initial computed tomography scan shows a displaced comminuted sacral fracture with narrowing of the sacral canal at the S1-S2 level.

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  Fig. 2 Preoperative sagittal (A) and axial T1-weighted magnetic resonance (B), T2-weighted magnetic resonance (C) images showing left S1 nerve root compression due to a displaced S1 sacral body and hematoma.

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  Fig. 3 (A, B) Postoperative X-rays show surgical decompression by laminoplasty and stabilization by mini plates and screws.

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  Fig. 4 (A, B) Postoperative computed tomography shows the expanded central canal of the sacrum after laminoplasty.

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