Traumatic Complete Lateral Dislocation at the Lumbosacral Junction. Issue 1 (February 2015)

• Record Type: Journal Article
• Authors: Arandi, Navid R.; Mundis, Gregory M.; Kabirian, Nima; Zhang, Daniel; Schroerlucke, Samuel
• Is Part Of: Journal of spinal disorders & techniques. Volume 28:Issue 1(2015)
• Publication Date: 2015-02
• Subjects: Spinal cord -- Diseases -- Periodicals; Spinal cord -- Surgery -- Periodicals; Spinal Diseases -- therapy -- Periodicals; Cordotomy -- methods -- Periodicals; Spinal Cord Diseases -- therapy -- Periodicals; Spinal Fusion -- methods -- Periodicals; Spine -- surgery -- Periodicals; 616.73
• DOI: 10.1097/BSD.0000000000000084
• Languages: English
• ISSNs: 1536-0652

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Study Design:</title> <p>This is a case report.</p> </sec> <sec> <title>Objective:</title> <p>To present a novel case of lumbosacral dislocation and its surgical management.</p> </sec> <sec> <title>Summary of Background Data:</title> <p>Complete lumbosacral dislocations are rare injuries that ensue as a result of high-energy trauma. Anatomic stabilization of these injuries can be challenging and often involves open fixation and arthrodesis.</p> </sec> <sec> <title>Methods:</title> <p>We present the case of a 22-year-old male who was involved in a high-velocity motorcycle accident with neurological deficit in the lower extremities. Radiographic analysis demonstrated a complete lateral dislocation of L5 vertebral body over the sacrum. The patient was surgically managed with a combined anterior and posterior arthrodesis, posterior decompression, and instrumentation.</p> </sec> <sec> <title>Results:</title> <p>Successful arthrodesis and spinal alignment was achieved. The patient regained partial neurological function in the lower extremities with an improved Visual Analogue Scale score of 1 and was able to ambulate semi-independently at latest follow-up.</p> </sec> <sec> <title>Conclusions:</title> <p>A combined anterior and posterior arthrodesis with decompression and instrumentation is an effective method for the treatment of this type of lumbosacral dislocation.</p> </sec> </abstract>