Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Early Stress Fracture of the Pelvic Ring Following Proximal Extension of an Instrumented Lumbosacral Fusion to Treat Junctional Kyphosis

  • Kim, Won-Joong (Department of Orthopedic Surgery, Wooridul Spine Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Shin, Song-Woo (Department of Neurosurgery, Wooridul Spine Hospital)
  • Published : 2005.07.28
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Abstract

We report a case of early stress fracture of the pelvic ring following an extension of a multilevel instrumented lumbosacral fusion in an osteopenic female. Surgeons should be aware of possibilities of pelvic complications in osteopenic patients with lumbosacral arthrodesis and should take care when harvesting iliac bone graft.

Keywords

References

  1. Bose B : Fracture of S1-2 after L4-S1 Decompression and fusion. Case report and review of the literature. J Neurosurg (Spine 3) 99 : 310-312, 2003 https://doi.org/10.3171/spi.2003.99.3.0310
  2. Coventry MB, Tapper EM : Pelvic instability: a consequence of removing iliac bone for grafting. J Bone Joint Surg 54A : 83-101, 1972
  3. Elias WJ, Shaffrey ME, Whitehill R : Sacral stress fracture following lumbosacral arthrodesis. Case illustration. J Neurosurg (Spine 1) 96 : 135, 2002 https://doi.org/10.3171/spi.2002.96.1.0135
  4. Fourney DR, Prabhu SS, Cohen ZR, Gokaslan ZL, Rhines LD : Early sacral fracture after reduction of spondylolisthesis and lumbosacral fixation. Case illustration. Neurosurgery 51 : 1507-1511, 2002 https://doi.org/10.1097/00006123-200212000-00024
  5. Hu RW, Bohlman HH : Fracture at the iliac bone graft harvest site after fusion of the spine. Clin Orthop : 208-213, 1994
  6. Mathews V, McCance SE, O'Leary PF : Early fracture of the sacrum or pelvis: an unusual complication after multilevel instrumented lumbosacral fusion. Spine 26 : E571-E575, 2001 https://doi.org/10.1097/00007632-200112150-00027
  7. Mills RR, Bernhardt M : Accuracy of fluoroscopic-guided pedicle screw placement in the lumbosacral spine. Orthop Trans 17 : 108- 109, 1993
  8. Wood KB, Geissele AE, Ogilvie JW : Pelvic fractures after long lumbosacral spine fusions. Spine 21 : 1357-1362, 1996 https://doi.org/10.1097/00007632-199606010-00016
  9. Wood KB, Schendel MJ, Ogilvie JW, Braun J, Major MC, Malcom JR : Effect of sacral and iliac instrumentation on strains in the pelvis. A biomechanical study. Spine 21 : 1185-1191, 1996 https://doi.org/10.1097/00007632-199605150-00010