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Sacral fractures

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https://www.readbyqxmd.com/read/27904724/analysis-of-sacrococcygeal-morphology-in-koreans-using-computed-tomography
#1
Min Geun Yoon, Myung-Sang Moon, Bong Keun Park, Hohyoung Lee, Dong-Hyeon Kim
BACKGROUND: The sacrococcygeal morphology of Arabs and Europeans has been studied using computed tomography (CT) or magnetic resonance imaging to determine the cause of coccydynia. Studies have suggested differences in sacrococcygeal morphology among ethnic groups. However, there are no data on the sacrococcygeal anatomy of Koreans. METHODS: We conducted a retrospective analysis of 606 pelvic CT scans that were taken at Cheju Halla General Hospital between 2008 and 2014...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27888274/percutaneous-sacroplasty-for-the-management-of-painful-pathologic-fracture-in-a-multiple-myeloma-patient-case-report-and-review-of-the-literature
#2
A A Dmytriw, K Talla, R Smith
Percutaneous kyphoplasty has a well-established role in the treatment of pathologic fractures in patients with multiple myeloma. Despite this, there is a scarcity of literature surrounding its use and efficacy in the sacrum. We present a case of successful symptom resolution in a patient with painful sacral fracture following sacroplasty, and review the existing literature.An 81-year-man with multiple myeloma presented to the hematology/oncology clinic with a history of excruciating pain while seated. The impact of this pain on his quality of life subjectively was rated to be particularly high...
November 25, 2016: Neuroradiology Journal
https://www.readbyqxmd.com/read/27880077/teriparatide-treatment-in-elderly-patients-with-sacral-insufficiency-fracture
#3
Jun-Il Yoo, Yong-Chan Ha, Hyun-Jun Ryu, Geun-Wu Chang, Young-Kyun Lee, Moon-Jib Yoo, Kyung-Hoi Koo
CONTEXT AND OBJECTIVE: Pain-related immobility due to insufficiency fractures may result in serious complications and a high mortality rate in senile patients with pre-existing comorbidities. This study aimed to evaluate the efficacy of teriparatide in patients with sacral insufficiency fractures. DESIGN, SETTING AND PARTICIPANTS: Retrospective case-controlled single center study was performed from 2009 to 2014. 41 patients underwent radiographs, magnetic resonance imaging and/or bone scans to document sacral insufficiency fractures...
November 23, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27865518/impact-of-surgical-correction-of-a-u-shaped-sacral-fracture-on-sagittal-spino-pelvic-alignment-regarding-one-case
#4
N Mansouri, T Graillon, K Farah, S Pesenti, B Blondel, S Fuentes
U-shaped sacral fractures are uncommon and are mostly the consequence of a high-energy kinetic trauma. The sacrum is a crucial element for sagittal alignment in a standing position as it determines the value of the pelvic incidence, which is a fixed and unchanging parameter for a given individual. We report the case of a 21-year-old man who underwent corrective surgery for a type II U-shaped fracture of the sacrum (according to the Roy-Camille classification), associated with a S1-S2 dislocation and sacral kyphosis that modified the patient's pelvic incidence...
December 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/27852318/sacral-stress-fracture-in-an-amateur-rugby-player-a-case-report
#5
Yasuhiro Takahashi, Takashi Kobayashi, Naohisa Miyakoshi, Eiji Abe, Toshiki Abe, Kazuma Kikuchi, Yoichi Shimada
BACKGROUND: Sacral stress fracture is an uncommon cause of back pain. The majority of previously reported cases have been in runners. The purpose of this case report was to describe a case of sacral stress fracture in an amateur rugby player. CASE PRESENTATION: A healthy 18-year-old Japanese boy who was a rugby player presented with a 3-week history of lumbago. Sagittal and axial magnetic resonance imaging failed to reveal any reason for lumbago in his lumbar region...
November 16, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27847854/spinopelvic-fixation-of-sacroiliac-joint-fractures-and-fracture-dislocations-a-clinical-8-years-follow-up-study
#6
Mohammad R Sobhan, Seyed Mohammad J Abrisham, Mahmood Vakili, Saeed Shirdel
BACKGROUND: Pelvic ring injuries and sacroiliac dislocations have significant impacts on patient's quality of life. Several techniques have been described for posterior pelvic fixation. The current study has been designed to evaluate the spinopelvic method of fixation for sacroiliac fractures and fracture-dislocations. METHODS: Between January 2006 and December 2014, 14 patients with sacroiliac joint fractures, dislocation and fracture-dislocation were treated by Spinopelvic fixation at Shahid Sadoughi Training Hospital, Yazd, Iran...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27824742/hip-dislocation-and-dystocia-in-early-medieval-times-possible-evidence-of-labor-maneuver
#7
Assumpció Malgosa, Susana Carrascal, Giampaolo Piga, Albert Isidro
BACKGROUND: In ancient times, maternal mortality would occur frequently, particularly during labor. Evidence of dystocia resulting in the death of a pregnant woman is very infrequent in paleopathologic literature, with only a few cases being demonstrated. CASE: In the early medieval site of Casserres, the skeleton of a young woman with a fetus in the pelvic region was found. Some abnormal findings of the maternal skeleton were evaluated, including a sacral anomaly, femoral head wound, the rare position of the lower left limb with the femoral head dislodged anteriorly and cephalad from the socket, and a fibular fracture...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27815654/musculoskeletal-manifestations-of-primary-hyperparathyroidism
#8
REVIEW
Ramesh Pappu, Serge A Jabbour, Antonio M Regianto, Antonio J Reginato
Primary hyperparathyroidism (PHPT) can be associated with a variety of musculoskeletal complaints, which occasionally can be the leading or presenting manifestation. In this paper, we describe the musculoskeletal manifestations observed in patients with primary hyperparathyroidism. Medical record reviews of a select population of 74 patients with primary hyperparathyroidism are seen in a rheumatology practice. Bone manifestations included back pain in 11 patients (15.2 %), generalized bone pain in 7 patients (9...
November 4, 2016: Clinical Rheumatology
https://www.readbyqxmd.com/read/27781189/the-development-of-a-universally-accepted-sacral-fracture-classification-a-survey-of-aospine-and-aotrauma-members
#9
Gregory D Schroeder, Mark F Kurd, Christopher K Kepler, James C Krieg, Jefferson R Wilson, Conor P Kleweno, Reza Firoozabadi, Carlo Bellabarba, Frank Kandizoria, Klause J Schnake, S Rajesekaran, Marcel F Dvorak, Jens R Chapman, Luiz R Vialle, F C Oner, Alexander R Vaccaro
Study Design Survey study. Objective To determine the global perspective on controversial aspects of sacral fracture classifications. Methods While developing the AOSpine Sacral Injury Classification System, a survey was sent to all members of AOSpine and AOTrauma. The survey asked four yes-or-no questions to help determine the best way to handle controversial aspects of sacral fractures in future classifications. Chi-square tests were initially used to compare surgeons' answers to the four key questions of the survey, and then the data was modeled through multivariable logistic regression analysis...
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27749563/the-biomechanical-advantages-of-bilateral-lumbo-iliac-fixation-in-unilateral-comminuted-sacral-fractures-without-sacroiliac-screw-safe-channel-a-finite-element-analysis
#10
Wenhao Song, Dongsheng Zhou, Yu He
BACKGROUND: The aim of this study was to compare the biomechanical characteristics between bilateral and unilateral lumbo-iliac fixation in unilateral comminuted sacral fractures (USF) by finite element analysis. METHODS: A 3-dimensional finite element model of unilateral sacral fractures was simulated. Three kinds of implants were instrumented into the model, including the unilateral lumbopelvic fixation (ULF), bilateral lumbopelvic fixation (BLF), and unilateral iliac fixation with bilateral lumbar pedicle screws (UBF)...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27746253/a-rare-case-of-isolated-lower-segment-transverse-sacral-fracture-in-a-12-year-old-female-child-and-its-management-by-fixation-with-k-wire-a-case-report
#11
Ismaeel Baba-Rasul, Hemin M Hama Ameen, Awder Khazendar, Seerwan O Hasan
BACKGROUND: Isolated lower segment sacral fracture is very rare. To the best of our knowledge, there is only one case report of S4 stable fracture that was treated conservatively. CASE DESCRIPTION: Here, we report a 12-year-old female child who sustained isolated S5 fracture with anterior displacement of S5 and coccyx on S4. The patient was initially provided with conservative management for one month and twenty-five days. On the failure of this treatment procedure, the patient was treated surgically by partial coccygectomy with S4-S5 fixation after reduction by two K-wires...
October 13, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27718438/urological-injuries-associated-with-pelvic-fractures-a-case-report-of-a-detached-bone-segment-inside-the-bladder
#12
Saud M Alfayez, Khalid Allimmia, Ahmad Alshammri, Firas Serro, Rakan Almogbel, Abdullah Bin Dous, Raed Almannie, Jesús Palencia
INTRODUCTION: Urological injuries in pelvic fractures are noticed in 6-15% of the cases. The bladder, due to its anatomical position, is prone to rupture in pelvic fractures. The majority of urinary bladder injuries are either extraperitoneal or intraperitoneal. Nonetheless, both types can occur simultaneously in 6% of the cases. PRESENTATION OF THE CASE: A 45-year-old male was brought to our emergency department after being struck by an automobile. In the absence of signs of urethral injury, a Foley's catheter was inserted revealing gross hematuria...
October 3, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27584674/temporary-percutaneous-instrumentation-and-selective-anterior-fusion-for-thoracolumbar-fractures
#13
Yann Philippe Charles, Axel Walter, Sébastien Schuller, Jean-Paul Steib
STUDY DESIGN: Prospective clinical trial in thoracolumbar trauma with 5-year follow-up. OBJECTIVE: To analyze clinical and radiographic outcomes of minimal invasive surgery, and the rational of circumferential fracture treatment with regard to age, degenerative changes, bone mineral density and global sagittal balance. SUMMARY OF BACKGROUND DATA: Non-neurologic fractures with anterior column defect can be treated by posterior percutaneous instrumentation and selective anterior fusion...
August 31, 2016: Spine
https://www.readbyqxmd.com/read/27583264/lumbar-artery-perforator-lap-flap-a-salvage-tool-for-extended-lumbo-sacral-necrosis-after-bilateral-internal-iliac-arteries-embolization
#14
Pietro Giovanni di Summa, Clara Schaffer, Patrice Zaugg, Olivier Bauquis, Wassim Raffoul
We report the case of a 52-year-old man presenting an extensive lumbosacral necrosis after bilateral internal iliac arteries embolization following unstable pelvic fracture. Coverage of the defect was performed using two extended lumbar artery perforator flaps in a propeller fashion. Good functional and esthetic result was achieved at one-year follow-up.
2016: Case Reports in Plastic Surgery & Hand Surgery
https://www.readbyqxmd.com/read/27571917/insufficiency-sacral-fracture-dislocation-mimicking-suicidal-jumper-s-fracture
#15
Hosam E Matar, Kamran Hassan, Stephen P Duckett
No abstract text is available yet for this article.
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27564231/biomechanical-comparison-of-augmented-versus-non-augmented-sacroiliac-screws-in-a-new-hemi-pelvis-test-model
#16
Niklas Grüneweller, Michael J Raschke, Ivan Zderic, Daniel Widmer, Dirk Wähnert, Boyko Gueorguiev, R Geoff Richards, Thomas Fuchs, Markus Windolf
Operative treatment of sacral insufficiency fractures is frequently being complicated by osteopenic bone properties. Cement augmentation of implanted sacroiliac screws may lead to superior construct stability and prevent mechanical complications. A novel hemi-pelvis test model with dissected symphysis was developed. Five fresh-frozen cadaveric pelvises were vertically osteotomized at the sacrum on both sides and fixed with sacroiliac screws in both corridors of the first sacral vertebral body. One side was randomly augmented with bone cement...
August 26, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27556242/back-pain-due-to-fracture-of-a-sacral-syndesmophyte-in-ankylosing-spondylitis
#17
Yun Jung Choi, Won Seok Lee, Wan-Hee Yoo
No abstract text is available yet for this article.
September 2016: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/27552712/a-simple-mathematical-model-of-sacroiliac-screws-safe-zone-easy-to-implement-by-pelvic-inlet-and-outlet-views
#18
Amir Herman, Emily Keener, Candice Dubose, Jason A Lowe
Percutaneous sacral screw fixation is the mainstay of posterior pelvic ring fixation. This study quantifies the accuracy of fluoroscopic screw placement using post-operative CT scans and redefines the fluoroscopic safe zone using a mathematical calculation obtained from Inlet and outlet images. The authors hypothesized that a mathematical calculation of screw placement within the ala will improve accuracy of screw placement. A retrospective review of consecutive patients admitted to a level 1 trauma center with pelvic fractures fixed with iliosacral screws from January 2011 to December 2014 was performed...
August 23, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27551916/transsacral-transiliac-screw-stabilization-effective-for-recalcitrant-pain-due-to-sacral-insufficiency-fracture
#19
Drew Sanders, Joshua Fox, Adam Starr, Ashoke Sathy, John Chao
OBJECTIVES: To evaluate the effectiveness of transsacral-transiliac screw fixation for the treatment of sacral insufficiency fractures that fail nonoperative treatment. DESIGN: A pilot study series of consecutive patients identified over 5 years were treated and followed prospectively. SETTING: Academic-affiliated, tertiary referral, level 1 trauma center in Dallas, TX. PATIENTS/PARTICIPANTS: Patients were selected on the basis of presenting diagnosis, and failure of nonoperative treatment of their sacral insufficiency fracture...
September 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27550496/decreased-lumbar-lordosis-and-deficient-acetabular-coverage-are-risk-factors-for-subchondral-insufficiency-fracture
#20
Woo Lam Jo, Woo Suk Lee, Dong Sik Chae, Ick Hwan Yang, Kyoung Min Lee, Kyung Hoi Koo
Subchondral insufficiency fracture (SIF) of the femoral head occurs in the elderly and recipients of organ transplantation. Osteoporosis and deficient lateral coverage of the acetabulum are known risk factors for SIF. There has been no study about relation between spinopelvic alignment and anterior acetabular coverage with SIF. We therefore asked whether a decrease of lumbar lordosis and a deficiency in the anterior acetabular coverage are risk factors. We investigated 37 patients with SIF. There were 33 women and 4 men, and their mean age was 71...
October 2016: Journal of Korean Medical Science
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