Malgaigne Fracture in Childhood: A Case Report and Review of Literature

Medicine
Mustafa KayaDavut Ceylan

Abstract

Sacrum fractures are rare pathologies seen after spinal traumas. The incidence of a sacral fracture after trauma is 0.6% in childhood. A Malgaigne fracture is composed of fractures and dislocations of the anterior and posterior regions of the pelvis. This is the first reported case of Malgaigne fracture during childhood. A 12-year-old girl was admitted to our emergency room after having suffered a fall. Radiological tests revealed a zone 3 sacral fracture according to the Denis scoring, a subtype 2 sacral fracture according to the Roy-Camille classification, and a detachment in the symphysis pubis. Appropriate load distribution through a bilateral L5-S1-S2 transpedicular screw and a bilateral iliac wing screw, as well as neural decompression were performed together with an S1-S2 total laminectomy. It is very difficult to make a generalization for treatment of sacral fractures and Malgaigne fractures in childhood due to the small number of patients. Each patient should be individualized and lumbosacroiliac instability should be treated.

References

Jun 1, 1990·Journal of Neurosurgery·K J GibbonsN Razack
Mar 12, 2004·Spine·David J HartJ Gordon McComb
Aug 20, 2014·Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES·Sedat DalbayrakOnur Yaman

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Citations

May 27, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Henrik C BäckerMichael Putzier

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Methods Mentioned

BETA
X-ray

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