- Department of Ortho-Spine Surgery, Sir Ganga Ram Hospital, New Delhi, India.
DOI:10.25259/SNI_298_2020Copyright: © 2020 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Vishnu Prasad Panigrahi, Nitin Adsul, R. S. Chahal, K. L. Kalra, Shankar Acharya. Traumatic posterior dislocation of sacrococcygeal joint: A case report and review of the literature. 18-Jul-2020;11:197
How to cite this URL: Vishnu Prasad Panigrahi, Nitin Adsul, R. S. Chahal, K. L. Kalra, Shankar Acharya. Traumatic posterior dislocation of sacrococcygeal joint: A case report and review of the literature. 18-Jul-2020;11:197. Available from: https://surgicalneurologyint.com/surgicalint-articles/10141/
Background: Sacrococcygeal joint dislocation is very rare. There are seven cases of sacrococcygeal joint dislocation found in the literature; most are anterior, and only one prior case of posterior dislocation was reported involving the mid-coccygeal joint. Here, we report another case of posterior dislocation of the sacrococcygeal joint.
Case Description: A 19 year-old female developed acute low-back and groin pain following a fall from the first floor. She was diagnosed with an unstable pelvic fracture along with posterior dislocation of the sacrococcygeal joint. The next day, after being hemodynamically stabilized, she underwent percutaneous fixation of the sacral fracture, while the sacrococcygeal joint dislocation was managed conservatively. Her pain decreased, and she was discharged on the third postoperative day and followed up to 6 weeks.
Conclusion: Most sacrococcygeal joint dislocations can be managed conservatively.
Keywords: Coccyx, Posterior sacrococcygeal joint dislocation, Sacrococcygeal joint
The sacrococcygeal symphysis is a fibrocartilaginous joint that connects the apex of the sacrum to the coccyx.[
A 19-year-old female sustained a fall from the first floor of her home. She presented with acute lower back and groin pain. The pelvic X-rays [
Sacrococcygeal dislocation has no standard treatment guidelines. There are only isolated case reports that show the equal success of conservative[
Rijal et al.,[
Here, the authors concluded that fracture–dislocations of the coccyx in young adults could be effectively treated conservatively and avoided performing a closed reduction due to their high failure rates.[
In this case, a 19-year-old female underwent sacral fracture reduction with percutaneous placed double iliosacral screw fixation, while the sacrococcygeal posterior dislocation was managed conservatively.
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