Fracture of S1-2 after L4-S1 decompression and fusion. Case report and review of the literature.

Abstract:

:The author describes a woman in whom an S1-2 fracture developed after L4-S1 decompression and fusion. Osteoporosis was not present, but the lesion failed to respond to conservative therapy, necessitating surgical extension of the spinal fusion. Although biomechanical complications of lumbosacral fusion are uncommon, pseudarthrosis, degenerative spondylolisthesis, and stress fractures have been reported. To date, only four cases of sacral stress fracture appear in the literature, all involving female patients and reportedly associated with osteoporosis. Unlike the present case, the fracture resolved satisfactorily in all cases with conservative treatment.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Bose B

doi

10.3171/spi.2003.99.3.0310

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

310-2

issue

3 Suppl

eissn

0022-3085

issn

1933-0693

journal_volume

99

pub_type

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