脆弱性骨盤骨折に対する逆行性恥骨上枝スクリュー骨外逸脱による閉鎖神経障害を来した一例

Key Points

• To investigate a case of obturator nerve injury caused by the migration of a retrograde pubic screw after pelvic fracture surgery in an elderly patient.
• Reported clinical case of an 86-year-old woman with Type 3b fragility pelvic fracture.
• Underwent retrograde pubic screw fixation and posterior lumbar-pelvic stabilization surgery.
• Evaluated postoperative complications using simple CT imaging.
• Obturator nerve injury was suspected due to the migration of the pubic screw detected on CT.
• Post-screw removal, the patient showed improvement in pain and regaining of walking ability.
• The need for careful intraoperative evaluation of screw placement was highlighted.

Abstract