单侧腰骶关节突关节脱位伴垂直剪切性骶骨骨折。

Unilateral lumbosacral facet joint dislocation associated with vertical shear sacral fracture.

作者信息

Ebraheim N A, Savolaine E R, Shapiro P, Houston T, Jackson W T

机构信息

Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699.

出版信息

J Orthop Trauma. 1991;5(4):498-503. doi: 10.1097/00005131-199112000-00019.

DOI:10.1097/00005131-199112000-00019

PMID:1762015

Abstract

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.

摘要

一名18岁女性在机动车事故中骶骨发生垂直剪切骨折，并伴有L5-S1关节单侧脱位。通过计算机轴向断层扫描对患者的损伤进行评估。经后正中切口，对脱位的L5-S1关节和骶骨骨折进行切开复位。复位后对耻骨联合进行前路固定。术后患者神经功能保持完好。