Malgaigne Fracture in Childhood <i>A Case Report and Review of Literature</i>
Mustafa Kaya, Can Yaldiz, Davut Ceylan
article (Uluslararası, Hakemli) | Yazar(lar): Mustafa Kaya, Can Yaldiz, Davut Ceylan | Yıl: 2016 | Dergi/Kurum: MEDICINE | İndeks: WOS.SCI | DOI: 10.1097/md.0000000000002521 — Özet: Sacrum fractures are rare pathologies seen after spinal traumas. The incidence of a sacral fracture after trauma is 0.6% in childhood. A M
Sacrum fractures are rare pathologies seen after spinal traumas. The incidence of a sacral fracture after trauma is 0.6% in childhood. A Malgaigne fracture is composed of fractures and dislocations of the anterior and posterior regions of the pelvis. This is the first reported case of Malgaigne fracture during childhood.
A 12-year-old girl was admitted to our emergency room after having suffered a fall. Radiological tests revealed a zone 3 sacral fracture according to the Denis scoring, a subtype 2 sacral fracture according to the Roy-Camille classification, and a detachment in the symphysis pubis. Appropriate load distribution through a bilateral L5-S1-S2 transpedicular screw and a bilateral iliac wing screw, as well as neural decompression were performed together with an S1-S2 total laminectomy.
It is very difficult to make a generalization for treatment of sacral fractures and Malgaigne fractures in childhood due to the small number of patients. Each patient should be individualized and lumbosacroiliac instability should be treated.