Abstract

Pathological fractures affecting lower limbs in patients with myelomeningocele have a high prevalence and need to be suspected though mild symptoms such as swelling, local redness, or local hyperthermia without pain, due to the lack of sensation of these patients or other systemic factors are presented. These fractures can affect different parts of the bone: metaphysis, diaphysis, or physis. It has been described different details in mechanism of injury, clinical presentation, treatment, and possible complications, depending on the affected site. In this case report, we present a 3-year-old female who has suffered 3 femur fractures in a period of 13 months. We analyze retrospectively the management of this case for formulating recommendations regarding her clinical evolution and the current published data.

Keywords: Myelomeningocele; Pathological fractures; Refractures; Metaphysis; Diaphysis; Bone demineralization; Osteoporosis; Bisphosphonates

Abbreviations PF: Pathological Fractures; MMC: Myelomeningocele; SCI: Spinal Cord Injury; DXA: Dual X-ray Absorptiometry