Traumatic lumbosacral dislocation: case report.
METHODS
A case report of a bilateral lumbosacral dislocation without a fracture is presented.


OBJECTIVE
To report the diagnosis and treatment of a traumatic lumbosacral dislocation.


BACKGROUND
Lumbosacral dislocations without fractures are rare injuries, with only four cases reported in literature. The recommended treatment consists of an anterior lumbar interbody fusion after posterior reduction with pedicle screw instrumentation.


METHODS
The 1-year follow-up evaluation of a 17-year-old male with a traumatic lumbosacral dislocation, diagnosed with computed tomography and magnetic resonance imaging, and treated with a posterior lumbar interbody fusion procedure combined with a posterolateral fusion is reported.


RESULTS
At 1 year after surgery the patient is asymptomatic and has resumed his heavy manual work. Radiologic evidence of interbody fusion is present.


CONCLUSIONS
Lumbosacral dislocations are rare injuries. The authors demonstrate the feasibility of a posterior lumbar interbody fusion procedure in combination with posterolateral instrumentation and fusion.
Verlaan
J J
JJ
Department of Orthopaedic Surgery, University Medical Center Utrecht, The Netherlands. jj.verlaan@chir.azu.nl
Oner
F C
FC
Dhert
W J
WJ
Verbout
A J
AJ
D000062:Accidents, Occupational; D000293:Adolescent; D001863:Bone Screws; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation; D013168:Spondylolisthesis / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000601:surgery