Unilateral lumbar facet dislocation: Case report and review of the literature.

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Unilateral lumbar facet dislocation: Case report and review of the literature.

World Neurosurg. 2018 Dec 18;:

Authors: Cho N, Alkins R, Khan OH, Ginsberg H, Cusimano MD

Abstract
BACKGROUND: Facet dislocations of the lumbar spine, particularly without neurological injury, are rare occurrences following major trauma. While there are documented cases of lumbosacral dislocation in the published literature, strictly lumbar unilateral facet dislocation is rare.
CASE DESCRIPTION: We report a case of a unilateral facet dislocation at L4-L5 following a single vehicle motorcycle accident. This injury was treated with posterior open reduction and instrumented stabilization with good results.
CONCLUSIONS: Given the rarity of this injury pattern, the management of this type of injury is not established. Careful imaging to make the diagnosis is crucial, and we recommend a surgical treatment in the form of an open reduction and instrumented stabilization. In our case, we achieved good outcomes with a posterior approach.

PMID: 30576818 [PubMed - as supplied by publisher]

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