Triangular Osteosynthesis as a Treatment of Lumbopelvic Dissociation with Acute Cauda Equina Syndrome in an 11-Year-Old Patient

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 bila...

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Bibliographic Details
Published in:Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews 2023-11, Vol.7 (11)
Main Authors: Visco, Zachary R, Himmelberg, Stephen M, Siegel, Jodi, Weinberg, Douglas S
Format: Article
Language:English
Subjects:
Adult
Cauda Equina Syndrome - complications
Cauda Equina Syndrome - surgery
Child
Decompression, Surgical - adverse effects
Decompression, Surgical - methods
Female
Fracture Fixation, Internal - adverse effects
Humans
Polyradiculopathy - diagnosis
Polyradiculopathy - etiology
Polyradiculopathy - surgery
Spine - surgery
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Summary: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.
ISSN:2474-7661
2474-7661
DOI:10.5435/JAAOSGlobal-D-23-00090