SACRAL FRACTURE ASSOCIATED TO NEUROLOGIC DEFICIT - A CASE-REPORT

Sacral fracture is a difficult diagnosis due to the lack of specific s igns and the inaccuracy of conventional radiology. This kind of fractu re affects either polytraumatised or aged patients, in whom the fractu re can be diagnosed. However these fracture have to be recognized beca use of their potentially adverse consequences, particularly on neurolo gic structures. The case of a 56 years old man who fell from his heigh t is reported. Two weeks later, due to mild neurologic symptoms, an X- ray and CT of the pelvis were performed, showing a fracture of both sa cral alae. A complex neurologic sensitive and motor impairement appear ed involving S1 to S5 levels on the left side and L2 to S5 levels on t he right side. Many investigations were done to rule out any other eti ologic factor of this complex and progressive neurologic deficit. The probable cause was an iterative stretching of the lombosacral roots am bulating with a floating sacrum fracture.