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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">ijcmcr</journal-id>
      <journal-title-group>
        <journal-title>International Journal of Clinical &amp; Medical Case Reports</journal-title>
      </journal-title-group>
      <issn publication-format="electronic">2834-250X</issn>
      <publisher>
        <publisher-name>International Journal of Clinical &amp; Medical Case Reports</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories>
      <title-group>
        <article-title>Sacral Fracture With Neurological Deficit In A Young Male- A Case Report From Afghanistan</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Zahid</surname>
            <given-names>Shafi Ullah</given-names>
          </name>
          <aff>Department of Neurosurgery, Jamhuriat Hospital, Kabul, Afghanistan</aff>
        </contrib>
      </contrib-group>
      <pub-date publication-format="electronic" date-type="pub">
        <day>21</day>
        <month>08</month>
        <year>2023</year>
      </pub-date>
      <volume>5</volume>
      <issue>5</issue>
      <history>
        <date date-type="received"><day>17</day><month>07</month><year>2023</year></date>
        <date date-type="accepted"><day>11</day><month>08</month><year>2023</year></date>
      </history>
      <permissions>
        <copyright-statement>© 2023 The Author(s). Published by International Journal of Clinical &amp; Medical Case Reports.</copyright-statement>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0).</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Introduction and Importance: Sacral fractures are relatively rare and complex mostly occur due to high-energy trauma. Isolated sacral fractures occur in 5% of cases, and up to 45% of sacral fractures coexist with pelvic ring injuries. Due to the complex and heterogeneous nature of these fractures, diagnosis and treatment of these fractures remain a challenge for the attending surgeon, and treatment is often determined on a case-by-case basis. Case Presentation: In this article, due to unavailability of the conventional implants, we performed a novel surgical technique where we used two long (110mm) lateral Iliac screws, a rod and a crossbar connecting rod to provide medial-ward pelvic compression. Clinical Discussion: The intervention was tolerated well and led to adequate stability of the fracture. The post op follow-up showed progressive functional and symptomatic recovery, indicating that the technique can be used in case of unavailability of the specialized implants. Conclusion: Simple iliac long screws, orthopedic High-Density Compression Plates (HDCP), rods and a crossbar can be a good alternative for specialized sacral implants in treating Zone III sacral fractures with promising results.</p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>Lumbosacral Spine</kwd>
        <kwd>Neurological Deficit</kwd>
        <kwd>Sacral Fracture</kwd>
        <kwd>Sacrum</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
