PDF(Pubmed)
Abstract：
Lumbosacral fracture-dislocation is a rare occurrence. There are more than 73 cases reported in the English literature. We report on the imaging findings and surgical treatment in a patient suffered of unilateral traumatic L5-S1 dislocation associated with severe disruption of the posterior ligamentous complex. The patient underwent open reduction and stabilization of L4-S1 vertebrae with posterior instrumentation system. Open reduction and internal fixation was mandatory as post-traumatic ligamentous insufficiency would lead to abnormal motion. Operative treatment managed to produce a solid arthrodesis and restore stability of the lumbosacral junction. Follow-up revealed excellent results. This study reports a rare injury of the lumbosacral junction, and the literature concerning this unusual condition is extensively reviewed.
摘要：
腰椎骨折脱位是罕见的。英文文献报道了超过73例。我们报告了患有单侧创伤性L5-S1脱位并伴有后韧带复合体严重破坏的患者的影像学发现和手术治疗。患者使用后器械系统进行L4-S1椎骨的切开复位和稳定。由于创伤后韧带功能不全将导致异常运动，因此必须进行切开复位和内固定。手术治疗成功地产生了坚固的关节固定术并恢复了腰s交界处的稳定性。后续行动显示出优异的结果。这项研究报告了一种罕见的腰骶交界处损伤，有关这种异常情况的文献得到了广泛的回顾。
