Poporodní netraumatická zlomenina krízové kosti: kazuistika a biomechanické poznámky
[Postpartal atraumatic sacral fracture. A case report and biomechanical comments]
Language Czech Country Czech Republic Media print
Document type Case Reports, English Abstract, Journal Article
PubMed
18646674
- MeSH
- Adult MeSH
- Spinal Fractures diagnosis etiology MeSH
- Obstetric Labor Complications * MeSH
- Sacrum injuries MeSH
- Humans MeSH
- Puerperal Disorders diagnosis MeSH
- Fractures, Stress diagnosis etiology MeSH
- Pregnancy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- English Abstract MeSH
- Journal Article MeSH
- Case Reports MeSH
OBJECTIVE: A case report describing postpartal nontraumatic sacral fracture. DESIGN: A case report and biomechanical commment. SETTING: Institute of anatomy, 2nd Medical faculty, Charles University at Prague. SUMMARY: Nontrauma--related stress fractures of the sacrum are rare complications of the pregnancy and postpartal period. We report a new case of nontrauma-related postpartal sacral fracture. A 36-year-old woman after second delivery presented symptoms of left L 5 radiculopathy. MRI of the lumbar spine and pelvis demonstrated a vertical fracture through the left sacral wing, paralel to the left sacroiliac joint (type Denis I). Fracture was surrounded by prominent bone marrow oedema. Biomechanical factors contributing to the stress fractures of the pelvic girdle in pregnancy and post partum are discussed.