Journal of Orthopaedic Surgery (Jul 2019)

Treatment of a sacral fracture associated with an intrasacral meningocele: A case report

  • Mika Akahane,
  • Takeshi Sawaguchi,
  • Daigo Sakagoshi,
  • Kenichi Goshima,
  • Kenji Shigemoto,
  • Yu Hatsuchi

DOI
https://doi.org/10.1177/2309499019860269
Journal volume & issue
Vol. 27

Abstract

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We report a case of sacral fracture complicated by an intrasacral meningocele in a 37-year-old male. The patient had a left sacral fracture with bilateral fractures of the superior and inferior pubic rami. The sacrum was fixed with a posterior plate and both superior pubic rami were fixed with an intramedullary screw. However, computed tomography myelogram and magnetic resonance imaging showed the intrasacral meningocele with the leakage of the cerebrospinal fluid into the buttocks and developed delayed union. Reoperation utilizing a strong anterior and posterior internal fixation combined with posterior bone grafting was undertaken and bone union was obtained.