Davis A A, Carragee E J
Department of Orthopaedic Surgery, UCLA School of Medicine.
Spine (Phila Pa 1976). 1993 Dec;18(16):2540-4.
Traumatic facet dislocation of the lumbosacral joint is uncommon. This report of a bilateral L5-S1 facet dislocation is compared with prior reported unilateral and bilateral cases with respect to mechanism of injury, neurologic injury, surgical reduction and fixation, and clinical outcome. Attention to the disk injury is recognized as essential to prevent cauda equina or root compression after reduction and fixation of the dislocation.
腰骶关节创伤性小关节脱位并不常见。本文报告了一例双侧L5-S1小关节脱位,并与先前报道的单侧和双侧病例在损伤机制、神经损伤、手术复位与固定以及临床结果方面进行了比较。认识到关注椎间盘损伤对于防止脱位复位与固定后马尾神经或神经根受压至关重要。