Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy

A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint

“…Bilaterally locked facet injuries without fracture are even rarer and only 10 cases have been reported in the literature [3]. Traumatic lumbosacral dislocations are produced by high-impact trauma, and, therefore, are rarely found as isolated injuries [6]. Furthermore, many patients die soon after initial trauma, so many cases of traumatic lumbosacral dislocation remain unidentified [4, 7].…”

“…This injury results in multiple organ injury, and treatment of vital organ lesions undoubtedly remains a priority. However, early surgical treatment is necessary, especially if neurologic signs are found on physical examination [4, 6]. The time interval between trauma and surgery makes reduction difficult and physical symptoms, if present, can also affect the surgical outcome.…”

Unilateral isolated dislocation at the lumbosacral junction: lateral flexion-distraction as a major vector in the mechanism of injury

“…Using the available classification systems for injuries of the lumbosacral junction, the injury described here can be classified as a type 1 injury of the Aihara system [1] or a type 1A injury of the Vialle system [18]. However, these systems only have a descriptive character without paying attention to the trauma mechanism.…”

Traumatic lumbar spondylolisthesis

“…A combination of multiple forces may be responsible for the occurrence of the trauma 2 and in English literatures, the injury was reported to be treated using different surgical approaches. We describe a patient with a traumatic spondylolisthesis of L5.…”