{"id":"d4534c85-922a-4b25-9fa1-8b80de1610fb","slug":"a-novel-technique-to-repair-a-transverse-sacral-fracture-in-a-previously-fused-lumbosacral-spondylolisthesis","title":"A novel technique to repair a transverse sacral fracture in a previously fused lumbosacral spondylolisthesis","authors":["Thomas Noh","Mokbel K. Chedid"],"abstract":"Background: Transverse fractures of the sacrum are rare, and surgical treatment for these fractures ranges from conservative to challenging. Transverse stress fractures of the sacrum after placement of lumbar-to-sacral instrumentation have been previously described. We report a new technique to repair a transverse Type-2 Roy-Camille fracture with spondylolisthesis of S1 over S2 in a previously fused instrumented high-grade L4-L5, L5-S1 spondylolisthesis. Case Description: A 64-year-old female who previously had an L4-L5, L5-S1 fusion for spondylolisthesis presented with excruciating lower back pain and radiculopathy for over 6 months. She was found to have an S1-S2 transverse fracture caused by previous implantation of pedicle screws. She underwent repositioning of several failed right lumbar and sacral screws and then had bilateral S1-S2 screws placed directly across the fracture line. The patient had an unremarkable postoperative course. She discontinued most of her pain medications within 6 weeks postoperatively. In the months following surgery, she reported only minimal lower back pain and no radiculopathy with the last appointment 5 years postoperatively. Conclusions: We describe a novel technique to reduce an iatrogenic transverse type-2 Roy-Camille fracture at S1-S2 in a previously instrumented high-grade L4-L5, L5-S1 spondylolisthesis. The patient's fracture achieved adequate reduction and fusion with symptomatic relief.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d4534c85-922a-4b25-9fa1-8b80de1610fb/featured/hero-1782421058306.png","publishDate":"2016-11-21T00:00:00.000Z","doi":"10.4103/2152-7806.194519","categories":["Spine","Technical Note"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/d4534c85-922a-4b25-9fa1-8b80de1610fb/pdf"}