A Case Series That Supports the Application of the S2AI Technique for Fractures and Failures After Lumbosacral Fusion

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
Jeffrey H WeinrebJoseph R O'Brien

Abstract

Sacral fractures and failures are uncommon after lumbosacral fusion but have received increasing attention in the surgical literature. They can be difficult to diagnose, making timely treatment difficult. No consensus has been reached on the characteristics of these complications or on optimal treatment. The goal of this retrospective case series is to contribute additional cases of these uncommon complications of lumbosacral fusion to the surgical literature to help clinicians to anticipate, diagnose, characterize, manage, and treat sacral fractures and failures after lumbosacral fusion. The medical records of five patients who experienced a sacral fracture or failure after lumbosacral fusion between January 2012 and November 2017 were identified and reviewed retrospectively. Records were reviewed for age, sex, clinical presentation, previous management, outpatient clinical records, imaging, and post-operative course. Four patients in the series experienced a sacral fracture and one experienced hardware failure. All patients presented with elevated pain and underwent revision surgery. Radiographic detection of the fracture or failure occurred at a mean of 11.2 weeks (range, 3 to 24 weeks) after initial surgery, and the mean ag...Continue Reading

References

Aug 1, 1992·Spine·D H McCordP C McAfee
Jul 20, 2002·Journal of Spinal Disorders & Techniques·Thomas A SchildhauerFrederick A Mann
Sep 23, 2003·Spine·Charles C EdwardsLawrence G Lenke
Sep 17, 2004·Spine·Charles C EdwardsLawrence G Lenke
Feb 16, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Patrick Vavken, Petra Krepler
Sep 2, 2008·Spine·Elias C PapadopoulosFederico P Girardi
May 21, 2009·Spine·Joseph R O'BrienKhaled M Kebaish
Jun 28, 2011·AJR. American Journal of Roentgenology·Gregory E WildeFrederico P Girardi
Feb 23, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Joshua J WindJoseph R O'Brien
Dec 31, 2017·Spine Deformity·Evan J SmithJoseph O'Brien
Jan 1, 2018·Spine Deformity·Evan J SmithJoseph O'Brien

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