Ureteral injury after percutaneous iliosacral fixation: a case report and literature review.
We report a case of right ureter injury in an 11-year-old girl after a percutaneous iliosacral screwing with non-computer-assisted fluoroscopic guidance. The indication was a pelvic ring fracture, C1-1 in the Tile modified AO classification (J Am Acad Orthop Surg. 1996;4:143-151). The mechanism was a ski accident. A percutaneous iliosacral screwing was performed to stabilize the right iliac wing fracture. Twelve days after the initial trauma, a right ureter tear was highlighted, just opposite the fourth lumbar vertebra. Uneventful spontaneous healing of the ureteral injury site occurred following double J-stent catheterization.
Pediatric Orthopaedic Surgery Department, CHU de Grenoble, Hôpital Nord. 38700, La Tronche, France. sruatti@chu-grenoble.fr
Sébastien
S
Ruatti
Aurélien
A
Courvoisier
Ahmad
A
Eid
Jacques
J
Griffet
D001860:Bone Plates; D001863:Bone Screws / Q000009:adverse effects*; D002648:Child; D005260:Female; D005471:Fluoroscopy; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D021621:Imaging, Three-Dimensional; D011183:Postoperative Complications / Q000209:etiology*; D046548:Pubic Symphysis Diastasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D015641:Radiography, Interventional; D012447:Sacrum / Q000000981:diagnostic imaging / Q000601:surgery*; D012865:Skiing / Q000293:injuries; D015607:Stents; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000293:injuries*; D014546:Urinary Catheterization; D053584:Urinoma / Q000209:etiology