NDLI: Sacral stress fracture after lumbar and lumbosacral fusion. How to manage it? A proposition based on three cases and literature review.

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Sacral stress fracture after lumbar and lumbosacral fusion. How to manage it? A proposition based on three cases and literature review.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Scemama, C. D'astorg, H. Guigui, P.
Description	Author Affiliation: Scemama C ( Department of Reconstructive and Orthopaedic Surgery, Université René-Descartes, European Hospital Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: scemamacaroline@gmail.com.); D'astorg H ( Department of Reconstructive and Orthopaedic Surgery, Université René-Descartes, European Hospital Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: h.dastorg@gmail.com.); Guigui P ( Department of Reconstructive and Orthopaedic Surgery, Université René-Descartes, European Hospital Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: pierre.guigui@aphp.fr.)
Abstract	Sacral fracture after lumbosacral instrumentation could be a source of prolonged pain and a late autonomy recovery in old patients. Diagnosis remains difficult and usually delayed. No clear consensus for efficient treatment of this complication has been defined. Aim of this study was to determine how to manage them. Three patients who sustained sacral fracture after instrumented lumbosacral fusion performed for degenerative disease of the spine are discussed. History, physical examinations' findings and radiographic features are presented. Pertinent literature was analyzed. All patients complained of unspecific low back and buttock pain a few weeks after index surgery. Diagnosis was done on CT-scan. We always choose revision surgery with good functional results. Sacral stress fracture has to be reminded behind unspecific buttock or low back pain. CT-scan seems to be the best radiological test to do the diagnosis. Surgical treatment is recommended when lumbar lordosis and pelvic incidence mismatched.
File Format	HTM / HTML
Issue Number	2
Volume Number	102
e-ISSN	18770568
Journal	Orthopaedics & Traumatology: Surgery & Research
Language	English
Publisher	Elsevier
Publisher Date	2016-04-01
Publisher Place	France
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Discipline Traumatology Fractures, Stress Surgery Sacrum Injuries Spinal Fractures Spinal Fusion Adverse Effects Aged Female Etiology Humans Low Back Pain Lumbar Vertebrae Male Reoperation Case Reports Journal Article Review
Content Type	Text
Resource Type	Case study Article

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