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Traumatic open anterior lumbosacral fracture dislocation. A report of two cases
J R Carlson1, J G Heller, F L Mansfield
1Harvard Medical School, Boston, Massachusetts, USA. JeffreyRCarlson@MSN.com
Study Design:
Case presentation.
Objectives:
To review the diagnosis and treatment of rare anterior lumbosacral fracture dislocations.
Summary Of Background Data:
The severity of closed anterior and open and closed posterior lumbosacral dislocations has been documented; however, there have been no reports of open anterior lumbosacral dislocations in the literature. Two patients are reported who experienced acute open anterior lumbosacral fracture dislocations.
Methods:
Review of the patient history and physical examination, radiologic review, operative techniques, and a review of the literature.
Results:
Fractures healed in both patients, with no major infections. Both patients had persistent neurologic deficits at last follow-up.
Conclusions:
Open lumbosacral fracture dislocations are complex injuries that require diligence on the part of the surgeons involved the recognize the severity of the injury, to prevent or resolve any infectious process, to prevent further neurologic injury, and then to obtain and maintain alignment of the spine on the pelvis.