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Unfallchirurg ; 120(10): 890-895, 2017 Oct.
Article in German | MEDLINE | ID: mdl-28924625

ABSTRACT

A monolateral sacrum fracture was primarily diagnosed with a CT and treated with PMMA augmented SI screw fixation. The following CT showed an unexpected contralateral fracture which led to the need for a lumbopelvic stabilization. In the course of 6 months, successively occurring adjacent fractures required recurrent vertebroplasty. Most of these fractures could only be diagnosed through MRI. It remains unclear, whether initially even the contralateral sacral ala was fractured.


Subject(s)
Fractures, Stress/surgery , Sacrum/injuries , Spinal Fractures/surgery , Aged, 80 and over , Bone Screws , Female , Fractures, Multiple/diagnostic imaging , Fractures, Multiple/surgery , Fractures, Stress/diagnostic imaging , Humans , Magnetic Resonance Imaging , Polymethyl Methacrylate/therapeutic use , Postoperative Complications/diagnostic imaging , Postoperative Complications/surgery , Reoperation , Sacrum/diagnostic imaging , Sacrum/surgery , Spinal Fractures/diagnostic imaging , Spinal Fusion/methods , Tomography, X-Ray Computed , Vertebroplasty
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