Unilateral Lumbar Facet Dislocation: Case Report and Review of the Literature

Newton Cho*, Ryan Alkins, Osaama Hassan Khan, Howard Ginsberg, Michael D. Cusimano

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Facet dislocations of the lumbar spine, particularly without neurologic injury, are rare occurrences after major trauma. Although there are documented cases of lumbosacral dislocation in the published literature, strictly lumbar unilateral facet dislocation is rare. Case Description: We report a case of a unilateral facet dislocation at L4-L5 after a single vehicle motorcycle accident. This injury was treated with posterior open reduction and instrumented stabilization with good results. Conclusions: Given the rarity of this injury pattern, the management of this type of injury is not established. Careful imaging to make the diagnosis is crucial, and we recommend a surgical treatment in the form of an open reduction and instrumented stabilization. In our case, we achieved good outcomes with a posterior approach.

Original languageEnglish (US)
Pages (from-to)310-316
Number of pages7
JournalWorld neurosurgery
Volume123
DOIs
StatePublished - Mar 2019

Fingerprint

Wounds and Injuries
Motorcycles
Nervous System Trauma
Accidents
Spine

Keywords

  • Dislocation
  • Lumbar facet
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Cho, Newton ; Alkins, Ryan ; Khan, Osaama Hassan ; Ginsberg, Howard ; Cusimano, Michael D. / Unilateral Lumbar Facet Dislocation : Case Report and Review of the Literature. In: World neurosurgery. 2019 ; Vol. 123. pp. 310-316.
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Unilateral Lumbar Facet Dislocation : Case Report and Review of the Literature. / Cho, Newton; Alkins, Ryan; Khan, Osaama Hassan; Ginsberg, Howard; Cusimano, Michael D.

In: World neurosurgery, Vol. 123, 03.2019, p. 310-316.

Research output: Contribution to journalArticle

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AU - Ginsberg, Howard

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AB - Background: Facet dislocations of the lumbar spine, particularly without neurologic injury, are rare occurrences after major trauma. Although there are documented cases of lumbosacral dislocation in the published literature, strictly lumbar unilateral facet dislocation is rare. Case Description: We report a case of a unilateral facet dislocation at L4-L5 after a single vehicle motorcycle accident. This injury was treated with posterior open reduction and instrumented stabilization with good results. Conclusions: Given the rarity of this injury pattern, the management of this type of injury is not established. Careful imaging to make the diagnosis is crucial, and we recommend a surgical treatment in the form of an open reduction and instrumented stabilization. In our case, we achieved good outcomes with a posterior approach.

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