34-198

Sacrolistesis postraumatica sin lesion neurologica

Post-traumatic sacrolisthesis without neurologic injury

A. M. HIDALGO OVEJERO, S. GARCIA MATA, A. B. DOMÍNGUEZ RÍOS, A. AREVALO SAENZ, M. MARTINEZ GRANDE SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. CLÍNICA UBARMIN Y HOSPITAL VIRGEN DEL CAMINO PAMPLONA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

Transverse fractures of the sacrum are rare, but fractures
with a displacement or listhesis of one sacral vertebra over
another are even more unfrecuent. The direction of the displacement
is conditioned by the causing mechanism, and may occur
in flexion or extension. In true listhesis, trauma occurs in extension,
placing the superior sacral vertebra totally or partially in
front of the inferior vertebra. In some cases, such as multiple
trauma, the diagnosis can be difficult, and a careful radiologic
study is required. A more or less severe injury of the lumbosacral
roots frequently occurs in these fractures, although a certain
degree of recovery takes place, even spontaneously, over time.
We present the case of a 69 years old woman suffering from a
sacrolisthesis of S1 over S2 after a fall on the buttocks with no
neurological lesion.

Palabras clave (ES):

Sacroiliaca
Sacrolistesis
Postraumática
Pelvis
Luxación

Resumen (EN)

Transverse fractures of the sacrum are rare, but fractures
with a displacement or listhesis of one sacral vertebra over
another are even more unfrecuent. The direction of the displacement
is conditioned by the causing mechanism, and may occur
in flexion or extension. In true listhesis, trauma occurs in extension,
placing the superior sacral vertebra totally or partially in
front of the inferior vertebra. In some cases, such as multiple
trauma, the diagnosis can be difficult, and a careful radiologic
study is required. A more or less severe injury of the lumbosacral
roots frequently occurs in these fractures, although a certain
degree of recovery takes place, even spontaneously, over time.
We present the case of a 69 years old woman suffering from a
sacrolisthesis of S1 over S2 after a fall on the buttocks with no
neurological lesion.

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