Triangular Osteosynthesis as a Treatment of Lumbopelvic Dissociation with Acute Cauda Equina Syndrome in an 11-Year-Old Patient.
Zachary R ViscoStephen M HimmelbergJodi SiegelDouglas S WeinbergPublished in: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews (2023)
This case offers a safe and effective method for treating lumbopelvic dissociation in a pediatric patient with cauda equina syndrome using a triangular osteosynthesis construct. After a high-speed accident, an 11-year-old girl was admitted to the hospital with bowel and bladder incontinence and bilateral lower extremity weakness. The orthopaedic trauma and spine teams elected for surgical treatment with a triangular osteosynthesis construct, a procedure usually reserved for adults. The surgery was uncomplicated, and the patient experienced complete resolution of her preoperative symptoms. She is doing well over 1-year postoperatively, with full neurologic recovery, maintained reduction, bony healing, and subsequent implant removal. To our knowledge, this is the youngest reported case of lumbopelvic dissociation treated in this manner and represents a viable treatment option.
Keyphrases
- case report
- high speed
- minimally invasive
- healthcare
- liver failure
- emergency department
- atomic force microscopy
- physical activity
- high resolution
- coronary artery bypass
- coronary artery disease
- depressive symptoms
- single molecule
- mass spectrometry
- acute coronary syndrome
- percutaneous coronary intervention
- acute care
- newly diagnosed
- electronic health record
- aortic dissection