Fractures du sacrum et lésions neurologiques. A propos d'un cas

Article Article scientifique Rapport de cas Fractures du sacrum et lésions neurologiques. A propos d'un cas fre 1998 author Bedat Bernard Olivier 508041 author Otten Philippe George Frank 71213 author Peter Robin 62978 281-284 9775051 0035-1040 Sacral fracture is a difficult diagnosis due to the lack of specific signs and the inaccuracy of conventional radiology. This kind of fracture affects either polytraumatised or aged patients, in whom the fracture can be diagnosed. However these fracture have to be recognized because of their potentially adverse consequences, particularly on neurological structures. The case of a 56 years old man who fell from his height is reported. Two weeks later, due to mild neurologic symptoms, an X-ray and CT of the pelvis were performed, showing a fracture of both sacral alae. A complex neurologic sensitive and motor impairement appeared involving S1 to S5 levels on the left side and L2 to S5 levels on the right side. Many investigations were done to rule out any other etiologic factor of this complex and progressive neurologic deficit. The probable cause was an iterative stretching of the lumbosacral roots ambulating with a floating sacrum fracture. Humans Magnetic Resonance Imaging Male Middle Aged Peripheral Nervous System Diseases/diagnosis/etiology Sacrum/injuries/radiography Spinal Fractures/complications/diagnosis/radiography Tomography, X-Ray Computed Dewey 617 57 Département de chirurgie 222 false 75 Traumatologie ostéoarticulaire 99 Revue de chirurgie orthopédique et réparatrice de l'appareil moteur 84 3 7aa77f47-4934-4dbf-a833-681780b9b231 Article (Published version) Restricted 1998 bedat rev chir orthop.pdf 50219 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Fractures du sacrum et lésions neurologiques. A propos d'un cas	Revue de chirurgie orthopédique et réparatrice de l'appareil moteur			1998	664	0

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Bedat, Bernard Olivier