Shirado O, Kaneda K
Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
J Orthop Trauma. 1995;9(4):354-8. doi: 10.1097/00005131-199509040-00015.
A case of an unusual lumbosacral fracture-subluxation associated with bilateral fractures of the first sacral pedicles is described. The authors are aware of only one reported case in the literature. A 58-year-old man was involved in an accident during which his trunk was severely twisted toward the left and flexed. He also demonstrated L5 and S1 radiculopathies. He was successfully treated with surgical decompression of the L5 and S1 nerve roots with bilateral foraminotomies, followed by posterolateral arthrodesis at the lumbosacral junction using a transpedicular screw system that extended fixation into the ilia.
本文描述了一例罕见的腰骶部骨折半脱位病例，该病例伴有双侧第一骶椎椎弓根骨折。作者所知文献中仅报道过一例类似病例。一名58岁男性遭遇事故，事故中其躯干严重向左扭转并屈曲。他还表现出L5和S1神经根病。通过双侧椎间孔切开术对L5和S1神经根进行手术减压，随后使用延伸至髂骨的经椎弓根螺钉系统在腰骶关节处进行后外侧融合术，患者得到成功治疗。
