La Chirurgia degli organi di movimento · 2008
Traumatic lumbosacral lateral dislocation without fracture.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
De Iure Federico, Paderni Stefania, Gasbarrini Alessandro, Bandiera Stefano, Boriani Stefano
Аннотация
STUDY DESIGN: A unique case of lumbosacral lateral dislocation without fracture is reported.
OBJECTIVE: To report on the diagnosis and treatment of a traumatic L5-S1 lateral dislocation in a polytrauma 34-year-old male with L5 nerve root paralysis.
METHOD: Interbody fusion following decompression, posterior reduction and interbody grafting combined with posterior plating was performed.
RESULTS: At an early stage the patient was able to return to work and walk without supports. At the 12-month follow-up evaluation no back pain was referred and fusion was achieved.
CONCLUSIONS: Lateral pure dislocation of the lumbosacral joint is very rare and can be easily misdiagnosed. A careful evaluation of the AP standard X-ray can lead to diagnosis and can be confirmed by CT scan. Prompt reduction and fusion is the treatment of choice to allow a quick functional recovery.
OBJECTIVE: To report on the diagnosis and treatment of a traumatic L5-S1 lateral dislocation in a polytrauma 34-year-old male with L5 nerve root paralysis.
METHOD: Interbody fusion following decompression, posterior reduction and interbody grafting combined with posterior plating was performed.
RESULTS: At an early stage the patient was able to return to work and walk without supports. At the 12-month follow-up evaluation no back pain was referred and fusion was achieved.
CONCLUSIONS: Lateral pure dislocation of the lumbosacral joint is very rare and can be easily misdiagnosed. A careful evaluation of the AP standard X-ray can lead to diagnosis and can be confirmed by CT scan. Prompt reduction and fusion is the treatment of choice to allow a quick functional recovery.