Unilateral Dislocation of a Lumbosacral Facet

Miz, George S.; Engler, Gordon L.

doi:10.1097/00007632-198808000-00022

Cited by 20 publications

(9 citation statements)

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“…[1–262830–434648–515354] Purely ligamentous injury akin to the findings in our case were less prevalent and have been reported in only a few cases. [24248] Although a few cases were managed conservatively, most patients underwent open reduction and fusion, by variable approaches and fusion techniques.…”

Section: Discussionsupporting

confidence: 63%

“…Occasionally, disimpaction and reduction can be achieved only after partial excision of the tip of the superior facet of S1. [81128] In cases of intervertebral disc derangement, anterior interbody fusion has been advocated. [1] We chose operative reduction and fixation for our patient based on the clinical instability demonstrated by severe back and radicular pain associated with motion, which resulted in improvement of her symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Management of distraction injury of the lumbosacral junction with unilateral perched facet

Schirmer

Bisson²

2011

Surg Neurol Int

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Background:Traumatic unilateral facet dislocation without fracture is an uncommon injury of the lumbosacral junction. We describe a case of a unilateral perched L5–S1 facet causing axial back pain and radiculopathy provoked by motion.Case Description:The patient underwent reduction with complete facetectomy followed by internal fixation at L5–S1, facilitating decompression of the S1 nerve root. Postoperatively, the patient reported improvement in her pain.Conclusions:This injury can be recognized using subtle clues, such as transverse process fractures and/or widened posterior elements. Despite its rarity, when identified, this injury can be characterized using the new TLICS system for thoracolumbar fractures and should be managed accordingly.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Management of distraction injury of the lumbosacral junction with unilateral perched facet

Schirmer

Bisson²

2011

Surg Neurol Int

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“…Twenty-six patients were presented with no neurological compromise [1-5, 15, 20, 21, 23, 31, 33, 36-38, 43, 44, 47-50] and no data has been given for the rest 11 patients [8, 17, 20, 23, 27], regarding neurological involvement. The occurrence of neuropathological complications is broadly similar.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Lumbosacral Dislocation: Case Report and a Comprehensive Review

Grivas¹,

Papadakis²,

Katsiva³

et al. 2012

TOORTHJ

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Lumbosacral fracture-dislocation is a rare occurrence. There are more than 73 cases reported in the English literature. We report on the imaging findings and surgical treatment in a patient suffered of unilateral traumatic L5-S1 dislocation associated with severe disruption of the posterior ligamentous complex. The patient underwent open reduction and stabilization of L4-S1 vertebrae with posterior instrumentation system. Open reduction and internal fixation was mandatory as post-traumatic ligamentous insufficiency would lead to abnormal motion. Operative treatment managed to produce a solid arthrodesis and restore stability of the lumbosacral junction. Follow-up revealed excellent results. This study reports a rare injury of the lumbosacral junction, and the literature concerning this unusual condition is extensively reviewed.

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“…A small number of authors have previously described the rare finding of unilateral lumbosacral facet joint dislocation when it is associated with facet joint fracture 1−5 or fracture of other areas of the lumbosacral spine 6−11 . In 1983, Boger et al.…”

Section: Discussionmentioning

confidence: 99%

“…It is commonly associated with fractures of the lumbar or sacral articular facets, as well as fractures of the other lumbar vertebrae. A small number of cases of unilateral lumbosacral fracture−dislocation have previously been documented 1−11 .…”

Section: Introductionmentioning

confidence: 99%

Unilateral lumbosacral facet joint dislocation without associated fracture

Stuart

Song

2004

Australasian Radiology

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In the lumbosacral spine, unilateral facet joint dislocation is an infrequent injury, which is often associated with fractures at the involved or other lumbar levels. The rare occurrence of unilateral lumbosacral facet joint dislocation without any associated fractures is presented with CT and MRI, and surgical correlation. To our knowledge, cross-sectional imaging of this injury has not previously been described in the published literature.

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Unilateral Dislocation of a Lumbosacral Facet

Cited by 20 publications

References 0 publications

Management of distraction injury of the lumbosacral junction with unilateral perched facet

Management of distraction injury of the lumbosacral junction with unilateral perched facet

Unilateral Lumbosacral Dislocation: Case Report and a Comprehensive Review

Unilateral lumbosacral facet joint dislocation without associated fracture

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