[Traumatic lumbosacral dislocation - an underrated injury].
Traumatic lumbosacral dislocations are rare. We report two cases with initially missed posttraumatic lumbosacral dislocations. The reported cases and the review of the literature show that, especially, accident victims with multiple fractures of the lumbar transverses processes may require a CT scan to confirm fractures or dislocations of L5/S1. Follow-up examinations due to persisting pain after physiotherapy should include lateral X-rays of the lumbar spine of the patient standing. According to the literature and our experience, the treatment of traumatic lumbosacral dislocation usually consists of open reduction and postero-lateral or dorso-ventral fusion of the unstable segments.
Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard-Karls-Universität Tübingen, BG Unfallklinik, Tübingen.
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Schroeter
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Weise
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Badke
D003937:Diagnosis, Differential; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D012447:Sacrum / Q000293:injuries* / Q000601:surgery; D016103:Spinal Fractures / Q000175:diagnosis* / Q000601:surgery; D013123:Spinal Fusion; D013168:Spondylolisthesis / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D055815:Young Adult