CASE REPORT


Unilateral Lumbosacral Dislocation: Case Report and a Comprehensive Review



Theodoros B Grivas1, Stamatios A Papadakis*, 1, Vassiliki Katsiva2, George Koufopoulos1, Vassilios Mouzakis1
1 Orthopaedic Department, “Thriasio” General Hospital, G. Gennimata Av. 19600, Magoula, Attica, Greece
2 Department of Radiology, “Thriasio” General Hospital, G. Gennimata Av. 19600, Magoula, Attica, Greece


© Grivas et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the 28th Octovriou Street 54, 15236 N. Pendeli, Greece; Tel: + 30 694 429 7086; Fax: +30 210 61 37 145; E-mail: snapmd@gmail.com


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.

Keywords:: Unilateral lumbosacral dislocation, surgery, case report, review.