{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T04:13:32Z","timestamp":1748578412176,"version":"3.28.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Sacral fractures causing neurological deficits secondary to epileptic seizures are very rare. They are traditionally treated by laminectomy and sacral fixation. However, minimally invasive techniques such as sacroplasty offer more limited surgery with decreased morbidity. Here, a 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive laminectomy and transcorporal sacroplasty.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>After a grand-mal seizure, a 23-year-old male presented with severe paraparesis accompanied by bilateral S1\/S2 radiculopathy and urinary\/fecal incontinence (Gibbons grade 4). When studies documented a Roy-Camille type 2 sacral fracture with severe central compression of the S1\/S2 spinal canal, he underwent an S1-S2 laminectomy with transcorporal sacroplasty.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>On the 1<jats:sup>st<\/jats:sup> postoperative day, he ambulated without assistance and demonstrated only mild residual sensory deficits (Gibbons grade 2); 1-month later, he walked without assistance.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>A 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive S1\/S2 laminectomy\/transcorporal sacroplasty.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_816_2024","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:30:13Z","timestamp":1731043813000},"page":"409","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tailored sacroplasty for sacral fracture secondary to an epileptic seizure"],"prefix":"10.25259","volume":"15","author":[{"given":"Vladimir Stoyanov","family":"Prandzhev","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolay Dinev","family":"Georgiev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donika Ivova","family":"Vezirska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,11,8]]},"reference":[{"key":"10.25259\/SNI_816_2024\/ref-1","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s10195-023-00726-2","article-title":"Consensus for management of sacral fractures: From the diagnosis to the treatment, with a focus on the role of decompression in sacral fractures","volume":"24","author":"Aprato","year":"2023","journal-title":"J Orthop Traumatol"},{"key":"10.25259\/SNI_816_2024\/ref-2","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/15563316221129607","article-title":"Sacral fractures: A review","volume":"19","author":"Barber","year":"2023","journal-title":"HSS J"},{"key":"10.25259\/SNI_816_2024\/ref-3","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.31616\/asj.2023.0024","article-title":"Surgical management of unstable U-shaped sacral fractures and tile C pelvic ring disruptions: Institutional experience in light of a narrative literature review","volume":"17","author":"Beucler","year":"2023","journal-title":"Asian Spine J"},{"key":"10.25259\/SNI_816_2024\/ref-4","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.neuchi.2021.04.004","article-title":"An unusual traumatic sacral-U shape fracture occurring during a grand mal epileptic seizure","volume":"68","author":"Farah","year":"2022","journal-title":"Neurochirurgie"},{"key":"10.25259\/SNI_816_2024\/ref-5","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.spinee.2007.05.011","article-title":"Percutaneous sacroplasty for osteoporotic sacral insufficiency fractures: A prospective, multicenter, observational pilot study","volume":"8","author":"Frey","year":"2008","journal-title":"Spine J"},{"key":"10.25259\/SNI_816_2024\/ref-6","doi-asserted-by":"crossref","first-page":"3583","DOI":"10.12659\/MSM.916483","article-title":"Isolated decompression for transverse sacral fractures with cauda equina syndrome","volume":"25","author":"Li","year":"2019","journal-title":"Med Sci Monit"},{"key":"10.25259\/SNI_816_2024\/ref-7","doi-asserted-by":"crossref","first-page":"365","DOI":"10.21037\/jss.2019.06.05","article-title":"Safety and efficacy of percutaneous sacroplasty for treatment of sacral insufficiency fractures: A systematic review","volume":"5","author":"Mahmood","year":"2019","journal-title":"J Spine Surg"},{"key":"10.25259\/SNI_816_2024\/ref-8","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0163-7258(99)00052-2","article-title":"Pharmacokinetic profile of levetiracetam: Toward ideal characteristics","volume":"85","author":"Patsalos","year":"2000","journal-title":"Pharmacol Ther"},{"key":"10.25259\/SNI_816_2024\/ref-9","doi-asserted-by":"crossref","first-page":"521","DOI":"10.14444\/8244","article-title":"Seizure-induced spinal fractures: A systematic review","volume":"16","author":"Robles","year":"2022","journal-title":"Int J Spine Surg"},{"key":"10.25259\/SNI_816_2024\/ref-10","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1212\/01.wnl.0000210503.89488.88","article-title":"Use of antiepileptic drugs and risk of fractures: Case-control study among patients with epilepsy","volume":"66","author":"Souverein","year":"2006","journal-title":"Neurology"},{"key":"10.25259\/SNI_816_2024\/ref-11","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1111\/j.1600-0404.2005.00474.x","article-title":"Epilepsy, osteoporosis and fracture risk-a meta-analysis","volume":"112","author":"Vestergaard","year":"2005","journal-title":"Acta Neurol Scand"},{"key":"10.25259\/SNI_816_2024\/ref-12","doi-asserted-by":"crossref","first-page":"rjx043","DOI":"10.1093\/jscr\/rjx043","article-title":"U-type bilateral sacral fracture with spino-pelvic dissociation caused by epileptic 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