Your browser doesn't support javascript.
loading
Treatment Outcomes of Lower Urinary Tract Symptoms due to Fragility Sacral Fractures: A Review of Eight Patients and Literature.
Noma, Michita; Sato, Yusuke; Hara, Nobuhiro; Yu, Jim; Fukuhara, Hiroki; Fukushima, Masayoshi; Nishizawa, Mitsuhiro; Komatsu, Naoto; Oshima, Yasushi.
Afiliação
  • Noma M; Department of Orthopedic Surgery, Musashino Red Cross Hospital, Tokyo, Japan; Department of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
  • Sato Y; Department of Orthopedic Surgery, Musashino Red Cross Hospital, Tokyo, Japan; Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan. Electronic address: pichon531@gmail.com.
  • Hara N; Department of Orthopedic Surgery, Musashino Red Cross Hospital, Tokyo, Japan.
  • Yu J; Department of Orthopedic Surgery, Musashino Red Cross Hospital, Tokyo, Japan.
  • Fukuhara H; Faculty of Medicine, Department of Urology, Yamagata University, Yamagata, Japan.
  • Fukushima M; Spine Center, Toranomon Hospital, Tokyo, Japan.
  • Nishizawa M; Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
  • Komatsu N; Department of Orthopedic and Spine Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan.
  • Oshima Y; Department of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
World Neurosurg ; 188: e278-e287, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38777323
ABSTRACT

BACKGROUND:

Sacral fractures can cause lower urinary tract symptoms (LUTS) due to damage to the cauda equina. While several studies have reported on sacral fractures due to high-energy trauma, those due to fragility fractures have only been reported in case reports and their clinical differences are not well known. This study aimed to investigate the clinical characteristics of LUTS caused by fragility sacral fractures and propose a novel treatment strategy.

METHODS:

This study is retrospective, uncontrolled, clinical case series. The inclusion criteria were sole sacral fractures due to low-energy trauma and appearance of LUTS after injury. Patients with additional spinal fractures or combined abdominal or pelvic organ injuries that could cause LUTS were excluded. Improvement in LUTS, period from onset to improvement, and imaging findings were recorded.

RESULTS:

Eight patients met the inclusion criteria (4 surgical and 4 conservative treatment cases). Six patients showed improvement in LUTS. In surgical cases, the mean period from onset of LUTS to surgery and from onset of LUTS to improvement was 14.5 and 21.5 days, respectively. Intraoperative rupture or laceration of the dural sac was not observed. In 2 conservatively improved cases, the period from onset to improvement of LUTS was 14 and 17 days.

CONCLUSIONS:

LUTS can improve even with conservative treatment and should be utilized as the primary choice. LUTS caused by severe sacral canal deformity and stenosis can be reversible, and the decision to perform surgical treatment is still timely if LUTS do not improve with conservative treatment for several weeks.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sacro / Fraturas da Coluna Vertebral / Sintomas do Trato Urinário Inferior Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sacro / Fraturas da Coluna Vertebral / Sintomas do Trato Urinário Inferior Idioma: En Ano de publicação: 2024 Tipo de documento: Article