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Dynamic posterior stabilization for traumatic lumbar facet fracture: A case report
1Geisinger Northeast Orthopedic Department, Geisinger Wyoming Valley Medical Center, 1000 East Mountain Boulevard, Wilkes-Barre, PA 18711, United States.
North American Spine Society Journal
|February 20, 2026
Summary
This case report details a novel use of motion-preserving total posterior spine (TOPS) arthroplasty for a young woman with a traumatic L5 facet fracture. This approach corrected deformity while potentially avoiding fusion-related complications.
Area of Science:
- Orthopedic Surgery
- Spine Surgery
- Trauma Surgery
Background:
- A high-speed motor vehicle collision resulted in a significant L5 superior facet fracture in an 18-year-old female.
- Conservative management with a thoracolumbosacral orthosis (TLSO) led to progressive L4-L5 deformity and facet distraction, despite normal neurological status.
