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Title: U-type bilateral sacral fracture with spino-pelvic dissociation caused by epileptic seizure.
Austin Authors: Wang, Qian;Verrall, Ian;Walker, Rowan;Tetsworth, Kevin;Drobetz, Herwig
Affiliation: Department of Surgery, Austin Health, Heidelberg, Victoria, Australia
Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Herston, Australia
Orthopaedic Research Centre of Australia, Brisbane, Australia
James Cook University School of Medicine and Dentistry Mackay Campus, Mackay, Australia
Department of Orthopaedic Surgery, Mackay Base Hospital, Mackay, Australia
Queensland University of Technology Science and Engineering Faculty, Brisbane, Australia
University of Queensland School of Medicine, St Lucia, Australia
Issue Date: Mar-2017 2017-03-03
Publication information: Journal of surgical case reports 2017; 2017(3): rjx043
Abstract: Sacral fracture with spino-pelvicĀ  dissociation is a rare and unstable injury caused by high-energy trauma, often with serious haemodynamic and neurological implications. Diagnosis is easily delayed or missed as it is often masked by severe associated injuries. Here, we present an unusual case of spino-pelvic dissociation sustained during a seizure episode in a young epileptic patient on long-term anticonvulsant therapy with previous thoracolumbar spinal arthrodesis. This unique case brings to light the need for clinicians to consider sacral fractures in patients presenting with low back pain with no preceding trauma who otherwise may have risk factors for pathological fractures.
DOI: 10.1093/jscr/rjx043
Journal: Journal of surgical case reports
PubMed URL: 28458849
ISSN: 2042-8812
Type: Journal Article
Appears in Collections:Journal articles

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