Unilaterale lumbosakrale Dislokation

Matĕjka, J; Zeman, J; Belatka, J

doi:10.1055/s-2007-981280

Cited by 2 publications

(2 citation statements)

References 3 publications

(3 reference statements)

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“…The conclusion drawn by Matějka [10] from a case report, suggests that extension with rotation is a probable trauma mechanism, is open to discussion although it is based on the description by Watson-Jones [19]. Matejka et al [10] (2007) classified the injury as type C 2.3.1 according to the Magerl classification system [9]. It is difficult to imagine such an extent of distraction in extension that would result, even with co-acting rotation, in unilateral facet joint overlapping, particularly when considered that extension itself increases the degree of containment in the intervertebral joint.…”

Section: Discussionmentioning

confidence: 97%

“…A unilateral dislocation can occur, only when rotation forces are involved. The conclusion drawn by Matějka [10] from a case report, suggests that extension with rotation is a probable trauma mechanism, is open to discussion although it is based on the description by Watson-Jones [19]. Matejka et al [10] (2007) classified the injury as type C 2.3.1 according to the Magerl classification system [9].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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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Section: Discussionmentioning

confidence: 97%