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Traumatic lumbosacral dislocation: case report.

J J Verlaan1, F C Oner, W J Dhert

  • 1Department of Orthopaedic Surgery, University Medical Center Utrecht, The Netherlands. jj.verlaan@chir.azu.nl

Spine
|September 25, 2001
PubMed
Summary
This summary is machine-generated.

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This case report details a rare traumatic lumbosacral dislocation without fracture. A posterior lumbar interbody fusion successfully treated the injury, allowing the patient full recovery.

Area of Science:

  • Orthopedic surgery
  • Spinal trauma
  • Radiology

Background:

  • Lumbosacral dislocations without fractures are exceptionally rare, with limited documented cases.
  • Standard treatment involves anterior lumbar interbody fusion post-posterior reduction and pedicle screw instrumentation.

Observation:

  • A 17-year-old male presented with a traumatic lumbosacral dislocation.
  • Diagnosis was confirmed using computed tomography (CT) and magnetic resonance imaging (MRI).

Findings:

  • The patient underwent a posterior lumbar interbody fusion with posterolateral fusion.
  • One-year follow-up showed the patient was asymptomatic and had resumed heavy manual labor.
  • Radiographic evidence confirmed successful interbody fusion.

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Implications:

  • This case demonstrates the feasibility of posterior lumbar interbody fusion for traumatic lumbosacral dislocations.
  • Posterior fusion techniques offer a viable alternative for managing these rare spinal injuries.