Unilateral lumbosacral facet joint dislocation associated with vertical shear sacral fracture.
An 18-year-old woman involved in a motor vehicle accident sustained a vertical shear fracture of the sacrum accompanied by unilateral dislocation of the L5-S1 joint. Evaluation of the patient's injuries was defined by computed axial tomography. Through a posterior midline incision, open reductions of the dislocated L5-S1 joint and of the sacral fracture were performed. Reduction was followed by anterior stabilization of the symphysis pubis. The patient remained neurologically intact after surgery.
Ebraheim
N A
NA
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699.
Savolaine
E R
ER
Shapiro
P
P
Houston
T
T
Jackson
W T
WT
D000293:Adolescent; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008159:Lumbar Vertebrae / Q000293:injuries; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D012447:Sacrum / Q000293:injuries*; D014057:Tomography, X-Ray Computed