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Transverse sacral fractures with anterior displacement

机译:横ac骨骨折伴前移

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摘要

Transverse fractures of the sacrum with anterior displacement are the rarest type of transverse sacral fractures. They usually occur at the S1–S2 region in suicide jumpers. A clinical study was performed to evaluate the diagnosis, treatment and outcome of transverse sacral fractures with anterior displacement. We present six patients with a transverse fracture of the sacrum with anterior displacement. All patients presented with bowel and bladder dysfunction, perineal anesthesia, sensory and motor deficits at the lower extremities. Prompt diagnosis of the sacral fracture was obtained in five of the six patients. Operative treatment including lumbosacral laminectomies, spine instrumentation and fusion was done in all patients. Neurological recovery was almost complete in one patient, incomplete in four patients, and none in one patient. Although reduction of the fracture was not ideal in many of these patients, long-term clinical and radiographic follow-up, and neurological improvement were rewarding.
机译:displacement骨横行骨折伴前移是最罕见的横transverse骨骨折。它们通常发生在自杀跳线的S1-S2地区。进行了一项临床研究,以评估伴有前移的横transverse骨骨折的诊断,治疗和结果。我们介绍了6例with骨横行骨折伴前移的患者。所有患者均表现为肠和膀胱功能障碍,会阴麻醉,下肢感觉和运动功能障碍。六名患者中有五名获得了diagnosis骨骨折的及时诊断。所有患者均进行了腰ac椎切开术,脊柱器械和融合术等手术治疗。 1例患者的神经系统恢复几乎完全,4例患者不完全,1例患者无。尽管在许多这类患者中骨折复位并不理想,但长期的临床和影像学随访以及神经系统的改善颇有收获。

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