• Arq Neuropsiquiatr · Sep 2007

    Case Reports

    Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report.

    • Marcelo D Vilela, Charles Jermani, and Bruno P Braga.
    • Neurosurgery Service, Hospital Mater Dei, Belo Horizonte, MG, Brazil. mdvilela@u.washington.edu
    • Arq Neuropsiquiatr. 2007 Sep 1; 65 (3B): 865-8.

    BackgroundU-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately.ObjectiveTo report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-year-old man.MethodDecompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws.ResultsRestitution of lumbosacropelvic stability and recovery of sphincter function.ConclusionLumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.

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