Isolated sacral dislocation in a 4-year-old child

Abstract

SUMMARYSacral dislocation is an uncommon form of injury in childhood. A 4-year-old girl who was injured in a motor vehicle accident was seen in the emergency room. On physical examination, ecchymosis and tenderness in the abdomen and sacral region was identified. Radiographs revealed no pelvic pathology. CT was performed owing to the patient's sacral and abdominal tenderness. Dislocations were identified at the sacral third and fourth vertebrae without any fractures. The patient was discharged 10 days later with a recommendation for 6 weeks bed rest and an appointment for an outpatient follow-up examination. At the post-traumatic secondmonth examination, the patient was walking normally. In the radiograph and MRI that were taken a year later, the dislocation was observed to have fused completely, and no pressure was seen on any anatomical structure. No functional pathology was identified during the interview with the family BACKGROUND

Traumatic Lumbosacral Spondyloptosis in a Pediatric Patient: Case Report and Literature Review

“…However, selected spinal subluxation cases in the pediatric population, which presented without spinal cord compression or neurological deficits, admits conservative treatment considering the possibility of spontaneous realignment and ability of the pediatric spine to remodel after traumatic fracture [4, 5, 14]. Isik et al [15] presented the case of a 4-year-old boy with S3–S4 sagittal spondyloptosis admitted with no signs of cauda equina syndrome. The patient underwent conservative treatment and had the same normal neurological exam at the 2-month follow-up.…”