Bilateral Locked Facets at Lower Lumbar Spine Without Facet Fracture: A Case Report

Im, Sanghyuk; Lee, Ki-Yeol; Bong, Ho-Jin; Park, Young-Sup; Kim, Jong-Tae

doi:10.14245/kjs.2012.9.3.278

Cited by 11 publications

(15 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Literature review [4][5][6][7] (Table 1) Literature review found five cases of traumatic lumbar locked facet syndrome at L4-L5. The series is composed of two women and four men.…”

Section: Post Operative Coursementioning

confidence: 99%

Traumatic lumbar spondylolisthesis without facet fracture at L4/L5. A case report and literature review

et al. 2016

View full text Add to dashboard Cite

L4-L5 traumatic spondylolisthesis has been rarely reported in the literature. At lumbar spine level traumatic dislocation lesion realizes "traumatic spondylolisthesis or traumatic bilateral lumbar facet locked syndrome". The aim of the present paper is to report this rare lesion and discuss its mechanism and management. A case report is followed by Literature review made on Medline and scholar google database from 2000 to 2015. The case report concerned a 33-year-old man, who refused to wear a seat belt, injured his lumbar spine following a motor vehicle accident. L4-L5 spondylolisthesis occurred after the vehicle rolled over several times. Sixteen months after the accident the patient had a favorable outcome. Literature review on Medline and scholar google database from 2000 to 2015 was carried out and five cases of traumatic spondylolisthesis were found. The Sex ratio was 3/2. Surgical treatment consisted of posterolateral interbody fusion. Traumatic lumbar spine spondylolisthesis is rare. When it occurs, it is always associated with vertebral lumbar fracture. L4-L5 traumatic spondylolisthesis was caused by a high-energy mechanism and improper use of seat belt.

show abstract

“…Literature review [4][5][6][7] (Table 1) Literature review found five cases of traumatic lumbar locked facet syndrome at L4-L5. The series is composed of two women and four men.…”

Section: Post Operative Coursementioning

confidence: 99%

Traumatic lumbar spondylolisthesis without facet fracture at L4/L5. A case report and literature review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Thoracolumbar junction of T11/T12 pure bilateral facet joint dislocation without facet fracture is a very rare injury. Review of the literature of thoracolumbar junction pure bilateral facet joint dislocation revealed that less than 15 cases have been reported [[4], [5], [6]]. Thoracolumbar junction injury without facet fracture is uncommon and difficult to understand the morphology of injury.…”

Section: Discussionmentioning

confidence: 99%

Bilateral pure facet joint dislocation in thoracolumbar junction (T11–T12) without facet fracture using a 3D digital printing model for surgical planning: A case report

Liawrungrueang

Sornsa-ard

Boonchieng

2020

Trauma Case Reports

View full text Add to dashboard Cite

BackgroundThoracolumbar junction pure bilateral facet joint dislocation without facet fracture is an extremely rare injury. A current review of thoracolumbar junction pure bilateral facet joint dislocation reported less than 15 cases in which the surgeon had a difficulty with the dissection of surgical planning using only 2D radiographic film and the axial or coronal view in computerized tomography. Bilateral pure facet joint dislocation in the thoracolumbar junction without facet fracture is difficult to understand the morphology of bone injuries.Case presentationA 25-year-old Thai gentleman presented with paraplegia and loss of sensation in the lower extremity (ASIA A) following a fall from a high lorry. Radiographic film and computed tomography scan revealed pure facet dislocation T11–T12 without facet fracture. The patient's thoracolumbar junction of the spine is presented to describe the three-dimensional (3D) printing technique for surgical preoperative planning. After the patient underwent open reduction, decompression and instrumentation with posterolateral fusion, the patient's thoracolumbar junction was described in the three-dimensional (3D) printing again for follow-up and in order to help the surgeon understand about the morphology and alignment after surgery.ConclusionPure facet dislocation is rarely seen at the thoracolumbar junction; it is a very unstable injury. In this case, we performed an early investigation using a 3D digital printing model in order to help with orthopedic surgical planning, emergency early open reduction and instrumentation with fusion. Neurological status was recovered. The 3D digital printing model should be a standard investigation in rare cases of orthopedic surgical planning.

show abstract

“…Failure of nonoperative and nonfusion has been reported early in literature, with progression of the spondylolisthesis and secondary neurological impairment due to instability. 7,19,22,31,42-45 The time from injury to operative management is dictated by the neurology of the case and by associated injuries. 29 Although the timing of surgery is governed by the presence or progression of a neurologic deficit, ideally the deformity should be stabilized as soon as possible to mobilize the patient, since reduction becomes more difficult with time.…”

Section: Discussionmentioning

confidence: 99%

“…The motion required to produce this injury is postulated to be either severe flexion, extension, or distraction combined with a rotatory force, though there is preference for hyperflexion injuries. 5,17 -23 The hyperflexion mechanism usually results from seat-belt or lap-belt injuries during a motor vehicle accident. 17,24 The high-energy impact leads to failure of bony facets and/or soft tissue disruption resulting in anterolisthesis.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Lumbar Spondylolisthesis: A Systematic Review and Case Series

Ver

Dimar

Carreon

2018

Global Spine Journal

View full text Add to dashboard Cite

Study Design: Systematic review and case series. Objectives: Any acute injury to the posterior elements of the lumbar spine resulting in listhesis is considered a traumatic spondylolisthesis. This rare injury caused by high-energy trauma is variably described in the literature as fracture-dislocation, where only case reports and series have been published. Our objectives were to propose evidence-based treatment recommendations and a new classification system for this injury. Methods: A systematic review of literature from PubMed, EMBASE, and Cochrane without time frame limitations was performed, which included 77 level IV and V articles and 9 patients as case series in the analysis. Results: A total of 125 cases were reviewed with mean age of 30.5 years. Half of the cases resulted from a vehicular accident. Back pain presented in 82%, while 50% had neurologic deficits. Operative treatment was performed in 93.6% (posterior decompression [PD] = 4%; posterior spinal fusion [PSF] = 43.2%; interbody fusion [IB] = 46.4%) with overall fusion rates of 74%. Binomial regression analysis for achieving solid fusion showed a 28.6× higher odds for IB compared to PSF ( P = .008, r2 = 0.633). Subanalysis of cases with disc injuries revealed higher fusion outcomes for IB (87%) compared to PSF (46%; P = .006), while there were no significant differences for patients without disc injury. Pain and neurological symptoms improved significantly on final follow-up ( P < .001). Overall complication rate was 22%. Conclusion: Operative management with reduction, decompression for neurologic deficits, instrumentation, and fusion is recommended for traumatic spondylolisthesis. Interbody fusion is recommended to achieve better fusion outcomes especially with preoperatively identified disc lesions.

show abstract

Bilateral Locked Facets at Lower Lumbar Spine Without Facet Fracture: A Case Report

Cited by 11 publications

References 18 publications

Traumatic lumbar spondylolisthesis without facet fracture at L4/L5. A case report and literature review

Traumatic lumbar spondylolisthesis without facet fracture at L4/L5. A case report and literature review

Bilateral pure facet joint dislocation in thoracolumbar junction (T11–T12) without facet fracture using a 3D digital printing model for surgical planning: A case report

Traumatic Lumbar Spondylolisthesis: A Systematic Review and Case Series

Contact Info

Product

Resources

About