title: Malgaigne Fracture in Childhood: A Case Report and Review of Literature.
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.
authors.affiliation: From the Department of Neurosurgery, Karadeniz Eregli State Hospital, Zonguldak, Turkey (MK); and Department of Neurosurgery, Sakarya Training and Research Hospital, Sakarya, Turkey (CY, DC).
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kaya
authors.forename: Can
authors.initials: C
authors.lastname: Yaldiz
authors.forename: Davut
authors.initials: D
authors.lastname: Ceylan
mesh_terms: D064386:Ankle Fractures / Q000000981:diagnostic imaging; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007796:Laminectomy; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D011843:Radiculopathy / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012446:Sacroiliac Joint / Q000293:injuries* / Q000601:surgery; D012447:Sacrum / Q000293:injuries* / Q000601:surgery; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
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