Bilateral locked facets of the lumbosacral spine: treatment with open reduction and transpedicular fixation.
作者信息
Arnold Paul M, Malone David G, Han Patrick P
机构信息
Department of Surgery, Section of Neurosurgery, University of Kansas School of Medicine, Kansas City, Kansas, USA.
出版信息
J Spinal Cord Med. 2004;27(3):269-72. doi: 10.1080/10790268.2004.11753761.
BACKGROUND
A 23-year-old man was involved in a motor vehicle crash and found to have bilateral locked facets at L5-S1. His neurologic examination, radiographic workup, surgical management, postoperative care, and the relevant literature are discussed.
DESIGN
Case report and literature review.
RESULTS
This patient underwent solid fusion with anatomic alignment following open reduction and internal fixation. He made a good neurologic recovery.
CONCLUSION
Early surgery, consisting of open reduction, fixation, and fusion, provides the best results in patients with lumbosacral fracture-dislocations.
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