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Atraumatic Sacral Fracture in Late Pregnancy: A Case Report.

Giannoulis DK, Koulouvaris P, Zilakou E, Papadopoulos DB, Lykissas MG, Mavrodontidis AN - Global Spine J (2015)

Bottom Line: Methods We report the case of a 30-year-old Caucasian European woman during her 37th week (36 weeks and 4 days) of gestation, who complained during her scheduled obstetric examination of continuous low back pain with no associated history of trauma.Results The patient was treated conservatively, and analgesics were administrated according to the consensus of the orthopedic and the anesthesiology departments.No further complications were recognized in the remaining period of her pregnancy, and a healthy child was born by caesarean section.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedic Department, University Hospital of Ioannina, Ioannina, Greece.

ABSTRACT
Study Design Case report. Objective Sacral fractures, traumatic or atraumatic, are a rather rare cause of low back pain. The majority of the cases of pregnancy-related sacral fractures are reported as a postpartum complication, and only few cases of sacral atraumatic fractures have been reported in the last trimester of the pregnancy. The aim of this study is to report a rare case of atraumatic sacral fracture in the third trimester of pregnancy. Methods We report the case of a 30-year-old Caucasian European woman during her 37th week (36 weeks and 4 days) of gestation, who complained during her scheduled obstetric examination of continuous low back pain with no associated history of trauma. The patient performed activities of daily living with a normal level of fatigue and reported no running or walking long distances. She was examined in our department, and a magnetic resonance imaging scan was performed that showed a vertical nondisplaced fracture in her left sacrum. Results The patient was treated conservatively, and analgesics were administrated according to the consensus of the orthopedic and the anesthesiology departments. No further complications were recognized in the remaining period of her pregnancy, and a healthy child was born by caesarean section. Conclusions Atraumatic fractures of the sacrum should be included in the differentiated diagnosis of pregnant patients with low back pain.

No MeSH data available.


Related in: MedlinePlus

1 (A–D) Magnetic resonance images reveal a vertical shear fracture in the patient's left sacrum and osseous edema in the surrounding tissues.
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FI1400004cr-1: 1 (A–D) Magnetic resonance images reveal a vertical shear fracture in the patient's left sacrum and osseous edema in the surrounding tissues.

Mentions: Due to the presence of the gestation, MRI was performed and a vertical shear in the patient's left sacrum was recognized. Osseous edema was also present around the nondisplaced fracture (Fig. 1).


Atraumatic Sacral Fracture in Late Pregnancy: A Case Report.

Giannoulis DK, Koulouvaris P, Zilakou E, Papadopoulos DB, Lykissas MG, Mavrodontidis AN - Global Spine J (2015)

1 (A–D) Magnetic resonance images reveal a vertical shear fracture in the patient's left sacrum and osseous edema in the surrounding tissues.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4472299&req=5

FI1400004cr-1: 1 (A–D) Magnetic resonance images reveal a vertical shear fracture in the patient's left sacrum and osseous edema in the surrounding tissues.
Mentions: Due to the presence of the gestation, MRI was performed and a vertical shear in the patient's left sacrum was recognized. Osseous edema was also present around the nondisplaced fracture (Fig. 1).

Bottom Line: Methods We report the case of a 30-year-old Caucasian European woman during her 37th week (36 weeks and 4 days) of gestation, who complained during her scheduled obstetric examination of continuous low back pain with no associated history of trauma.Results The patient was treated conservatively, and analgesics were administrated according to the consensus of the orthopedic and the anesthesiology departments.No further complications were recognized in the remaining period of her pregnancy, and a healthy child was born by caesarean section.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedic Department, University Hospital of Ioannina, Ioannina, Greece.

ABSTRACT
Study Design Case report. Objective Sacral fractures, traumatic or atraumatic, are a rather rare cause of low back pain. The majority of the cases of pregnancy-related sacral fractures are reported as a postpartum complication, and only few cases of sacral atraumatic fractures have been reported in the last trimester of the pregnancy. The aim of this study is to report a rare case of atraumatic sacral fracture in the third trimester of pregnancy. Methods We report the case of a 30-year-old Caucasian European woman during her 37th week (36 weeks and 4 days) of gestation, who complained during her scheduled obstetric examination of continuous low back pain with no associated history of trauma. The patient performed activities of daily living with a normal level of fatigue and reported no running or walking long distances. She was examined in our department, and a magnetic resonance imaging scan was performed that showed a vertical nondisplaced fracture in her left sacrum. Results The patient was treated conservatively, and analgesics were administrated according to the consensus of the orthopedic and the anesthesiology departments. No further complications were recognized in the remaining period of her pregnancy, and a healthy child was born by caesarean section. Conclusions Atraumatic fractures of the sacrum should be included in the differentiated diagnosis of pregnant patients with low back pain.

No MeSH data available.


Related in: MedlinePlus