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Case Report
- Fracture-Dislocation of S1 in 3-Year-Old Boy: A Case Report
- Sang-Bong Ko, M.D., Sang-Wook Lee, M.D.
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Journal of the Korean Fracture Society 2010;23(2):232-235.
DOI: https://doi.org/10.12671/jkfs.2010.23.2.232
Published online: April 30, 2010
Department of Orthopedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea.
- Address reprint requests to: Sang-Bong Ko, M.D. Department of Orthopedic Surgery, Daegu Catholic University Medical Center, 3056-6, Daemyung 4-dong, Nam-gu, Daegu 705-825, Korea. Tel: 82-53-650-4283, Fax: 82-53-626-4272, bong@cu.ac.kr
• Received: November 4, 2009 • Revised: February 24, 2010 • Accepted: February 27, 2010
Copyright © 2010 The Korean Fracture Society
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Abstract
- Fracture-dislocation of the sacrum that has not yet fully developed is common in the distal sacrococcygeal joint of children, but this injury is rarely seen in 1st Sacrum. Most of these patients have a severe neurological deficit, so this injury generally requires surgical decompression. We managed a three year old patient who had a S1 fracture-dislocation without a neurological deficit, and the patient was treated with simple skin traction and bed rest without surgery. The child had a satisfactory result, so we report on this case with reviewing the relevant literatures.
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Figure 1
Initial radiographs shows fracture-dislocation of 1st Sacrum in L-spine AP and Lateral views.
Figure 2
Fracture dislocation of 1st Sacrum is seen in sagittal section of MRI.
Figure 3
At 2 year later follow up.
(A) Simple whole spine radiographs show good sagittal and frontal alignment.
(B) CT show union of each pedicle, elongation of pedicle and remodeling state of 1st sacrum.
(C) Gross photographs show good sagittal and frontal alignment.
Figure 1
Figure 2
Figure 3
Fracture-Dislocation of S1 in 3-Year-Old Boy: A Case Report
