SciELO - Scientific Electronic Library Online

vol.15 número2Independent segmental bone transport of the radius and ulna: A case reportRadiation exposure to orthopaedic registrars in the Pietermaritzburg Metropolitan Complex índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X


HORN, Anria; THOMAS, Antony  y  DUNN, Robert. Debilitating sciatica following a sacral fracture: A case report. SA orthop. j. [online]. 2016, vol.15, n.2, pp.35-37. ISSN 2309-8309.

Following a horse-riding accident, a 16-year-old female sustained a minimally displaced sacral fracture extending into the S1 and S2 foramina on the left. The patient was initially treated conservatively but neuropathic pain, dysaesthesia and weakness in the L5 and S1 distributions developed and persisted. CT and MRI revealed a fracture fragment abutting the L5 nerve root. Epidural anaesthesia and aggressive neural mobilisation by physiotherapy failed to improve symptoms. Surgical decompression via the sub-iliacus approach was then performed 6 weeks following the injury. Symptoms resolved immediately but recurred in the L5 distribution, presumably due to neuritis, and were successfully managed conservatively. Six weeks following surgery, all symptoms had resolved and the patient mobilised independently and returned to her pre-injury level of activity.

Palabras clave : sacral spine; sacral fracture; sciatica; surgery for sacral fractures.

        · texto en Inglés     · Inglés ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons