Pelvic fracture of the sacroiliac joint region in a child - a case study and literature review.

Abstract

The aim of the paper is to present the case of a 3-year-old boy with an unaligned fracture of the sacroiliac joint region to propose a minimally invasive method of fracture fixation without using metal implants and to review the literature addressing this injury, which is uncommon in children. The patient was hit by a car; he suffered a fracture of the iliac ala with a complete traumatic damage to the L4-L5 nerve roots. The fracture was fixated by osteosuture and normal bone fusion was achieved. The follow-up period was 4 years. The boy manifested persistent flaccid paresis of the right foot and symptoms of a neurogenic bladder. Late radiological follow-up indicated disturbances of pelvic bone development and shortening of the lower extremity at the side of the injury.