Lumbosacral junction injury associated with unstable pelvic fracture: classification and diagnosis.

Leone, Alessandro; Cerase, Alfonso; Priolo, F.; Marano, Paul

doi:10.1148/radiology.205.1.9314994

Cited by 17 publications

(9 citation statements)

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“…True lateral radiographs are very useful for diagnosing this specific fracture (43). Lumbosacral junction injuries, which occur when sacral fracture lines pass cranially through or medial to the S1 articular process, are rare (45). The sacral plexus can be injured as a result of sacral fractures.…”

Section: Traumatic Lesionsmentioning

confidence: 99%

The Sacrum: Pathologic Spectrum, Multimodality Imaging, and Subspecialty Approach

Diel

Ortiz²,

Losada³

et al. 2001

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172

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The sacrum is a structure that is imaged by both general and subspecialty radiologists. A wide variety of disease processes can involve the sacrum either focally or as part of a systemic process. Plain radiographs, although limited in evaluation of the sacrum, should be carefully examined when abnormalities of the sacrum are suspected. Cross-sectional imaging, particularly computed tomography and magnetic resonance (MR) imaging, plays a crucial role in identification, localization, and characterization of sacral lesions. Congenital lesions of the sacrum, including sacral agenesis and meningocele, are optimally imaged with MR. The most common sacral neoplasm is metastatic disease. Primary neoplasms of the sacrum, which include giant cell tumor, chordoma, and teratoma, are infrequent. Infection of the sacrum or sacroiliac joint is most often due to contiguous spread from a suppurative focus. A wide variety of arthritic disorders such as ankylosing spondylitis and osteoarthritis can involve the sacroiliac joints as part of a localized or systemic process. Sacral fractures related to acute trauma or repetitive stress are difficult to diagnose and treat. Knowledge of these abnormalities and familiarity with the imaging of these processes will allow radiologists of all subspecialties to contribute to the diagnosis and management of sacral disorders.

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Section: Traumatic Lesionsmentioning

confidence: 99%

The Sacrum: Pathologic Spectrum, Multimodality Imaging, and Subspecialty Approach

Diel

Ortiz²,

Losada³

et al. 2001

RadioGraphics

172

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“…Leone et al beobachteten in Ihrer Kohorte von 42 Patienten mit instabilen Sakrumfrakturen eine Beteiligung der Facette L5/ S1 in 33 %, davon die meisten mit intraartikulärer Fraktur [13].…”

Section: Klassifikation Nach Islerunclassified

Sakrumfrakturen – Klassifikationen

Osterhoff

Spiegl

2021

Die Wirbelsäule

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“…Fracture-dislocation with displacement results in substantial lumbar disc disruption and a decrease of load-bearing capability. Defects of the anterior column make decision-making more challenging [18][19][20]. Anterior column insufficiency in the acute phase is associated with sagittal balance distortion.…”

Section: Biomechanicsmentioning

confidence: 99%

“…Fractures related to sacral and pelvic trauma and 3. Fracture-dislocations of L5 as traumatic spondylolisthesis[19,20]. The decision for diagnosis, spinal cord injury detection, classification, and treatment selection imaging like CT scan and MRI have important roles[21].A valuable classification of lower lumbar fractures may contain: Isolated process fractures such as transverse process or spinous fractures; 2.…”

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confidence: 99%

Low Lumbar Fractures: Unique Biomechanics and Treatment Options

Haddadi

Ehteshami

2020

Iran J Neurosurg

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Background and Aim: Acute lower lumbar spinal fractures (L4 and L5) can cause major neurologic damage and mechanical instability. The ultimate surgical method for the management of unstable lower lumbar spine fractures Methods and Materials/Patients: Online search databases including Google scholar databases, PubMed and Ovid was performed using the keywords: Low lumbar, fractures, spine trauma, biomechanics, classification, anatomy, spinopelvic alignment, non-operative and surgical treatment options. Finally, about 47 related studies were identified and reviewed. Results: The L4 and L5 vertebra and related discs contribute to 50% of the lordosis in the lumbar area. Fracture of the trapezoidal body of the fifth vertebra can considerably decrease this and change the L4-L5 and L5-S1 biomechanics. The lower lumbar spine, in contrast to the thoracolumbar junction, is secure by the pelvis and the robust musculature. There is great controversy about the treatment of lumbar burst fractures without neurologic deficit. The surgical indication and optimal procedure may be influenced by numerous aspects such as the severity of signs and symptoms, the amount of loss of vertebral body height and the involvement of the spinal canal, and finally, the stability of the posterior spinal components. Conclusion: There is no consensus on what establishes the paramount treatment for low lumbar burst fractures. Conservative care has been related to acceptable outcomes for patients with a burst fracture which are neurologically intact. In more severe injuries, spinal decompression and stabilization via a posterior or anterior approach are based on the surgeon’s preference. For lower lumbar burst fractures or fracture-dislocations of the lumbosacral junction with neurologic injury, posterior decompression and stabilization, and a period of rest and bracing for the preservation of lumbar lordosis are appropriate.

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Lumbosacral junction injury associated with unstable pelvic fracture: classification and diagnosis.

Cited by 17 publications

References 0 publications

The Sacrum: Pathologic Spectrum, Multimodality Imaging, and Subspecialty Approach

The Sacrum: Pathologic Spectrum, Multimodality Imaging, and Subspecialty Approach

Sakrumfrakturen – Klassifikationen

Low Lumbar Fractures: Unique Biomechanics and Treatment Options

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