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Delayed neurological insufficiency caused by transverse sacral fracture after minor trauma in elderly patients

Sacral fractures in elderly patients with associated lumbosacral lesions can be overlooked easily because of vague symptoms and delayed neurological insufficiency. A 70-year-old female and a 73-year-old female presented with delayed neurological insufficiency caused by transverse sacral fracture after minor trauma. Both patients had suffered from lower extremity symptoms with dysuresia and dyschezia for more than a month. Coexisting lumbosacral pathological lesions may confuse the correct diagnosis for sacral fractures. Decompressive sacral laminectomy was performed, and the patients showed relatively favorable outcomes

Keywords : Aged,complications,Decompression,Surgical,diagnosis,etiology,Female,Humans,injuries,Intervertebral Disc Displacement,Laminectomy,Lower Extremity,methods,Neurosurgery,Patients,physiopathology,Polyradiculopathy,Pubic Bone,Republic of Korea,Sacrum,Spinal Fractures,Spinal Nerve Roots,surgery,therapy,Time Factors,Treatment Outcome,, Neurological,Insufficiency,Caused,By,Transverse, rheumatology london

Date of Publication : 2011

Authors : Lee JH;Kim JU;Jang JS;Lee SH;

Organisation : Department of Neurosurgery, Seoul Wooridul Hospital, Republic of Korea

Journal of Publication : Neurol Med Chir (Tokyo)

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21701106

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