A case of traumatic spino-pelvic dissociation.

A case of traumatic spino-pelvic dissociation is reported. The unusual fracture pattern (grade III-B open left sacroiliac joint fracture dislocation, Denis type I longitudinal right sacral fracture, transverse sacral fracture at the S3-4 level, and a left comminuted pelvic wing fracture) led to a complete dislocation of the spine from the pelvis, transection of the left S1 and S2 nerve roots, and intrusion of the cranial portion of the spine into the pelvis. The patient underwent open reduction internal fixation of the spine and the pelvis in combination with general surgical management. Two years postinjury, the patient lives independently and walks with one cane.