Zusammenfassung
Wir berichten von einer 71-jährige Frau, welche seit 4 Wochen über persistierende Beschwerden im Rücken- und Beckenbereich klagte. Ein Trauma war glaubhaft nicht vorangegangen. Die Diagnostik zeigte eine gering dislozierte bilaterale Sakrumfraktur auf dem Boden einer Osteoporose, auch Insuffizienzfraktur genannt. Therapeutisch führten wir eine perkutane und zementaugmentierte bilaterale transiliosakrale Gelenkverschraubung durch. Sechs Monate postoperativ zeigte sich radiologisch eine stabile Fraktur bei regelrechter Schraubenlage.
Abstract
We describe the case of a 71-year-old woman who presented with persisting painful symptoms of the back and pelvis which had begun 4 weeks previously. A preceding trauma was plausibly excluded. Diagnostics showed a slightly dislocated bilateral sacral fracture with underlying osteoporosis also known as an insufficiency fracture. We performed a percutaneous and cement-augmented bilateral iliosacral joint revision using screws and 6 months after surgery, imaging showed a stable fracture with appropriate screw positions.
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Müller, F., Füchtmeier, B. Perkutane zementaugmentierte Verschraubung einer bilateralen osteoporotischen Sakrumfraktur. Unfallchirurg 116, 950–954 (2013). https://doi.org/10.1007/s00113-013-2387-0
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DOI: https://doi.org/10.1007/s00113-013-2387-0