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

Krbec, Martin; Hraběta, Pavel

doi:10.1007/s00586-010-1472-0

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…Bony injuries may include vertebral fractures of the transverse processes, spinous processes, and sacral promontory, as well as distant fractures such as in the ribcage or femur [ 36 ]. Local soft tissue involvement includes the supraspinous ligaments, paraspinous musculature, facet joint capsules, dura and intervertebral disc [ 80 , 81 ].…”

Section: Clinical Evaluationmentioning

confidence: 99%

Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

Moon¹,

Ateşok²,

Niemeier³

et al. 2018

Advances in Orthopedics

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Traumatic lumbosacral dislocation is a rare, high-energy mechanism injury characterized by displacement of the fifth lumbar vertebra in relation to the sacrum. Due to the violent trauma typically associated with this lesion, there are often severe, coexisting injuries. High-quality radiographic studies, in addition to appropriate utilization of CT scan and MRI, are essential for proper evaluation and diagnosis. Although reports in the literature include nonoperative and operative management, most authors advocate for surgical treatment with open reduction and decompression with instrumentation and fusion. Despite advances in early diagnosis and management, this injury type is associated with significant morbidity and mortality, and long-term patient outcomes remain unclear.

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Section: Clinical Evaluationmentioning

confidence: 99%

Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

Moon¹,

Ateşok²,

Niemeier³

et al. 2018

Advances in Orthopedics

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Evaluation of chronic low back pain in osteoporotic patients in treatment with teriparatide

Nunes¹,

Teixeira

Moraes

et al. 2014

Coluna/Columna

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OBJECTIVE: The objective was to assess the improvement of chronic low back pain in osteoporotic patients treated with teriparatide (TPTD). METHODS: This was an observational study with a convenience sample of 21 patients with osteoporosis using TPTD, 20 mcg/day, between 2006 and 2010, with chronic low back pain (more than three months). Dorsolumbar radiographs and bone densitometry (DXA) were performed before and after treatment. For pain measurement the VAS pain scale was used. Data were entered in Excel and processed in STATA/SE 8.0 with Chi2 square or Fisher (p < 0.05). RESULTS: twenty-one patients aged 40-90 (mean 70 years), eight (40%) had senile osteoporosis and thirteen (60%) had osteoporosis secondary to medications. Seventeen (80%) had previous dorsolumbar fractures. Ten (47.5%) used TPTD for 24 months, six (27.5 %) used the medication for 18 months, four (20%) for 12 months and one (5%) for six months. Eight patients (40%) received previous anti-reabsortive therapy. Thirteen patients (60%) exhibited bone mass gain between 0% and 9% while eight (40%), between 10% and 15%. The final average VAS was 2.6 representing an improvement of 4.7 (p< 0.05). CONCLUSION: There was a significant reduction in the severity of low back pain with the use of TPTD (initial mean VAS: 7.3, final VAS: 2.6, improvement: 4.7).

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Traumatic lumbar espondylolisthesis: a case report

2014

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We present a case of traumatic espondylolisthesis L5 S1 A0 53 B3.3 ASIA B in a young patient after a high energy car accident. This entity is a rare injury that requires immediate attention. Treatment should be prompt in order to provide the best prognosis since this is an unstable and severe lesion that presents with neurological deficit in half of the patients. Computed tomography and magnetic resonance imaging have shown to be extremely valuable for the diagnosis and are mandatory for this kind of injuries. In this case it is noteworthy that the intervertebral disk was intact. It is reported that if surgery is performed 24 to 48 hours after the accident, the improvement of neurological deficit is very feasible. In this case posterolateral fusion with autologous bone graft and multiplanar transpedicular posterior instrumentation and decompression were performed 52 hours after the accident. The patient presents one year after surgery with improvement in movement and sphincter control and with radiographic evidence of a complete fusion.

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

Cited by 4 publications

References 18 publications

Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

Evaluation of chronic low back pain in osteoporotic patients in treatment with teriparatide

Traumatic lumbar espondylolisthesis: a case report

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