创伤性L5/S1双侧关节突交锁伴双侧椎弓根峡部裂——病例报告
Traumatic L5/S1 bilateral locked facets with bilateral pars fractures - A case report.
作者信息
Shahab Fawwaz Bin, Ghouri Amna, Hussain Manzar, Nasir Sadaf
机构信息
Department of Neurosurgery, Liaquat National Institute of Postgraduate Studies, Karachi, Pakistan.
Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan.
出版信息
Surg Neurol Int. 2023 Jun 8;14:200. doi: 10.25259/SNI_1077_2022. eCollection 2023.
BACKGROUND
Although rare, traumatic lumbosacral (L/S) Grade I spondylolisthesis (i.e., Lumbar locked facet syndrome) is characterized by unilateral or bilateral facet dislocations.
CASE DESCRIPTION
A 25-year-old male presented following a high velocity road traffic accident with back pain and tenderness at the L/S junction. His radiologic images showed bilateral locked facets at the L5/S1 level with Grade 1 spondylolisthesis, bilateral pars fractures, acute traumatic L5/S1 disc herniation, and disruption of the anterior and posterior longitudinal ligaments. After undergoing a L4-S1 laminectomy with pedicle screw fixation, he became asymptomatic and remained neurologically stable.
CONCLUSION
L5/S1 facet dislocation whether unilateral or bilateral needs to be diagnosed early and treated with realignment and instrumented stabilization.
背景
创伤性腰骶部I度椎体滑脱（即腰椎小关节交锁综合征）虽然罕见，但特征为单侧或双侧小关节脱位。
病例描述
一名25岁男性在高速道路交通事故后出现腰骶部交界区疼痛和压痛。其影像学图像显示L5/S1水平双侧小关节交锁伴I度椎体滑脱、双侧椎弓根骨折、急性创伤性L5/S1椎间盘突出以及前后纵韧带断裂。在接受L4-S1椎板切除术并进行椎弓根螺钉固定后，他症状消失且神经功能保持稳定。
结论
L5/S1小关节脱位无论单侧或双侧均需早期诊断，并通过复位和器械稳定治疗。
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