Journal of the Bahrain Medical Society

Year 2021, Volume 33, Issue 3, Pages 49-53

https://doi.org/10.26715/jbms.33_2021_3_9

Case Report

A Case Report of Spino-Pelvic Dissociation with Neurological Deficit in Pediatric Age Group

Tariq Mohammed Muhialdin Alkhalifa1, Ayman Merza Abdulla Mohamed2*, Ali Hasan Zainaldeen3, Sharif Omar Ali Ahmed4, Harleen Luther5

Author Affiliation

1Consultant orthopedics, Salmaniya Medical Complex, Bahrain.

2Orthopedics Resident, Salmaniya Medical Complex, Bahrain.

3Orthopedics Chief Resident, Salmaniya Medical Complex, Bahrain.

4Orthopedics Chief Resident, Salmaniya Medical Complex, Bahrain.

5Consultant Neurosurgery, Salmaniya Medical Complex, Bahrain.

*Corresponding author:

Ayman Merza Abdulla Mohamed, Orthopedics Resident, Salmaniya Medical Complex, Bahrain. Email: aymanmirza@hotmail.com, Tel.: (973) 39066599

Received date: March 15, 2021; Accepted date: June 3, 2021; Published date: September 30, 2021


Abstract

Transverse sacral fracture is a rare entity in the pediatric age group, primarily resulting from a fall from height. This case report stresses the importance of proper neurological assessment, adequate imaging and highlights different modalities of management of this fracture. We report a case of a 13-year-old child with type III Roy-Camille sacral fracture with associated bladder and bowel dysfunction. The patient underwent spinopelvic fixation and decompression of the sacral canal. The patient partially regained bowel and urinary function and had improved motor function after three months of follow-up. Operative management is generally advocated for such fractures.

Keywords: Decompression; Bone fractures; Neural tube; Pediatrics; Sacrum