title: Delayed neurological insufficiency caused by transverse sacral fracture after minor trauma in elderly patients.
abstract: Sacral fractures in elderly patients with associated lumbosacral lesions can be overlooked easily because of vague symptoms and delayed neurological insufficiency. A 70-year-old female and a 73-year-old female presented with delayed neurological insufficiency caused by transverse sacral fracture after minor trauma. Both patients had suffered from lower extremity symptoms with dysuresia and dyschezia for more than a month. Coexisting lumbosacral pathological lesions may confuse the correct diagnosis for sacral fractures. Decompressive sacral laminectomy was performed, and the patients showed relatively favorable outcomes.
authors.affiliation: Department of Neurosurgery, Seoul Wooridul Hospital, Republic of Korea.
authors.forename: Jung-Hoon
authors.initials: JH
authors.lastname: Lee
authors.forename: Jin-Uk
authors.initials: JU
authors.lastname: Kim
authors.forename: Jee-Soo
authors.initials: JS
authors.lastname: Jang
authors.forename: Sang-Ho
authors.initials: SH
authors.lastname: Lee
mesh_terms: D000368:Aged; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000601:surgery; D007796:Laminectomy; D011128:Polyradiculopathy / Q000209:etiology* / Q000628:therapy; D011630:Pubic Bone / Q000293:injuries; D012447:Sacrum / Q000293:injuries*; D016103:Spinal Fractures / Q000150:complications* / Q000628:therapy; D013126:Spinal Nerve Roots / Q000293:injuries / Q000503:physiopathology; D013997:Time Factors; D016896:Treatment Outcome