Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy

Vialle, Raphaël; Charosky, Sebastian; Rillardon, L.; Levassor, N; Court, Charles

doi:10.1016/j.injury.2006.06.015

Cited by 58 publications

(94 citation statements)

References 33 publications

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“…Bilaterally locked facet injuries without fracture are even rarer and only 10 cases have been reported in the literature [3]. Traumatic lumbosacral dislocations are produced by high-impact trauma, and, therefore, are rarely found as isolated injuries [6]. Furthermore, many patients die soon after initial trauma, so many cases of traumatic lumbosacral dislocation remain unidentified [4, 7].…”

Section: Discussionmentioning

confidence: 99%

“…This injury results in multiple organ injury, and treatment of vital organ lesions undoubtedly remains a priority. However, early surgical treatment is necessary, especially if neurologic signs are found on physical examination [4, 6]. The time interval between trauma and surgery makes reduction difficult and physical symptoms, if present, can also affect the surgical outcome.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint

Shinohara

Soshi

Kida

et al. 2012

Journal of Orthopaedic Science

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint

Shinohara

Soshi

Kida

et al. 2012

Journal of Orthopaedic Science

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“…Using the available classification systems for injuries of the lumbosacral junction, the injury described here can be classified as a type 1 injury of the Aihara system [1] or a type 1A injury of the Vialle system [18]. However, these systems only have a descriptive character without paying attention to the trauma mechanism.…”

Section: Discussionmentioning

confidence: 99%

Unilateral isolated dislocation at the lumbosacral junction: lateral flexion-distraction as a major vector in the mechanism of injury

Krbec

Hraběta

2010

Eur Spine J

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The description of the unusual mechanism of the trauma to lumbosacral junction is given based on the analysis of the clinical case. The injury of a patient with unilateral dislocation at the L5-S1 intervertebral joint without a bone lesion in this segment is reported. The patient suffered the injury by falling on one side from a height of 8 m. The trauma mechanism is documented by MRI findings and a 3D CT reconstruction of the paravertebral muscles and soft tissues on the injured side, whilst showing intact structures on the contralateral side. This, together with the cause of injury (a fall on the side), provides evidence for forced lateral flexion-distraction being the major vector of the trauma event. Such mechanism of this injury was not taken in account by other authors yet. This type of injury is difficult to classify using the Magerl classification system. The very rare injury has been mentioned in the literature only occasionally.

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“…A combination of multiple forces may be responsible for the occurrence of the trauma 2 and in English literatures, the injury was reported to be treated using different surgical approaches. We describe a patient with a traumatic spondylolisthesis of L5.…”

Section: Introductionmentioning

confidence: 99%

Traumatic lumbar spondylolisthesis

Tang¹

2012

Pak J Med Sci

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Traumatic lumbar spondylolisthesis is a rare lesion and frequently noted in patients with multiple traumatic injuries. We report one case of L5 traumatic spondylolisthesis, which obtained successful decompression, reduction, interbody fusion and fixation by posterior lumbar interbody fusion, and got satisfactory outcome. We recommend early decompression, reduction, interbody fusion and fixation with posterior instrumentation to obtain the recovery of neurological function and stability of the spine.

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Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy

Cited by 58 publications

References 33 publications

A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint

A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint

Unilateral isolated dislocation at the lumbosacral junction: lateral flexion-distraction as a major vector in the mechanism of injury

Traumatic lumbar spondylolisthesis

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