Related Experiment Video
Updated: Jul 24, 2025
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
481
Traumatic L5/S1 bilateral locked facets with bilateral pars fractures - A case report
Fawwaz Bin Shahab1, Amna Ghouri1, Manzar Hussain1
1Department of Neurosurgery, Liaquat National Institute of Postgraduate Studies, Karachi, Pakistan.
Surgical Neurology International
|July 5, 2023
Summary
Traumatic spondylolisthesis, or lumbar locked facet syndrome, involves facet dislocations. Early diagnosis and surgical stabilization are crucial for recovery.
Area of Science:
- Spine Surgery
- Traumatology
- Orthopedic Surgery
Background:
- Traumatic spondylolisthesis, specifically lumbar locked facet syndrome, is a rare condition characterized by facet joint dislocations.
- It often results from high-energy trauma, leading to instability at the lumbosacral junction.
Observation:
- A 25-year-old male sustained severe back trauma from a road traffic accident.
- Radiographic evaluation revealed bilateral L5/S1 facet dislocations, Grade I spondylolisthesis, bilateral pars fractures, acute disc herniation, and ligamentous disruption.
Findings:
- The patient underwent a L4-S1 laminectomy with pedicle screw fixation for stabilization.
- Post-operatively, the patient achieved asymptomatic status and maintained neurological stability.
Implications:
- Early diagnosis and prompt surgical intervention, including realignment and instrumented stabilization, are essential for managing L5/S1 facet dislocations.
- This case highlights the successful surgical management of a complex traumatic lumbosacral injury.
