Chronic Pelvic Diastasis 22 Years After Twin Natural Delivery: A Case Report
| Autor: | Pasquale Sangiovanni, Simone Cerbasi, R. Pascarella, R. Fantasia |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Pubic Symphysis Diastasis 03 medical and health sciences 0302 clinical medicine Posterior fixation medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Sacroiliac joint 030219 obstetrics & reproductive medicine business.industry Gold standard Postpartum Period Sacroiliac Joint Middle Aged medicine.disease Low back pain Surgery Radiography medicine.anatomical_structure Treatment Outcome Radiological weapon Diastasis Female medicine.symptom Complication business |
| Zdroj: | JBJS case connector. 11(2) |
| ISSN: | 2160-3251 |
| Popis: | Case We present here a case of chronic pelvic separation 22 years after twin natural delivery in a 49-year-old woman surgically treated with anterior and posterior stabilization. The functional and radiological recovery after a 4-year follow-up was extremely good. Conclusion Postpartum pubic symphysis diastasis is a rare but dreaded complication of natural delivery. Nonoperative treatment is still considered the gold standard. However, when pain persists despite nonoperative treatment and when a pelvic radiograph reveals a pubic diastasis greater than 2 cm, surgery is recommended. In the case of low back pain because of sacroiliac joint lesions, posterior fixation is indicated. |
| Databáze: | OpenAIRE |
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