Inadvertent sacral bar transfixation of the cauda equina

Robert E. Leggon, Brad Meister, Ronald Lindsey

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We present a case of inadvertent sacral bar transfixation of the cauda equina as a complication of posterior pelvic internal fixation. The "safe zone" for sacral bar placement is narrow, especially in the presence of fracture displacement. This complication can be avoided by achieving fracture reduction before internal fixation. Intraoperative fluoroscopy, including inlet and lateral sacral views, should be used in addition to tactile guidance to confirm the reduction. Even after prolonged compression, hardware removal under direct visualization can alleviate radicular symptoms with less effect on motor deficit.

Original languageEnglish (US)
Pages (from-to)127-130
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume16
Issue number2
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Cauda Equina
Fracture Fixation
Fluoroscopy
Touch

Keywords

  • Cauda equina
  • Compression rod
  • Nerve injury
  • Pelvic injury
  • Sacral bar

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Inadvertent sacral bar transfixation of the cauda equina. / Leggon, Robert E.; Meister, Brad; Lindsey, Ronald.

In: Journal of Orthopaedic Trauma, Vol. 16, No. 2, 2002, p. 127-130.

Research output: Contribution to journalArticle

Leggon, Robert E. ; Meister, Brad ; Lindsey, Ronald. / Inadvertent sacral bar transfixation of the cauda equina. In: Journal of Orthopaedic Trauma. 2002 ; Vol. 16, No. 2. pp. 127-130.
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