LUMBOSACRAL FRACTURE-SUBLUXATION ASSOCIATED WITH BILATERAL FRACTURES OF THE FIRST SACRAL PEDICLES - A CASE-REPORT AND REVIEW OF THE LITERATURE

A case of an unusual lumbosacral fracture-subluxation associated with bilateral fractures of the first sacral pedicles is described. The aut hors 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 severel y twisted toward the left and flexed. He also demonstrated L5 and S1 r adiculopathies. He was successfully treated with surgical decompressio n of the L5 and S1 nerve roots with bilateral foraminotomies, followed by posterolateral arthrodesis at the lumbosacral junction using a tra nspedicular screw system that extended fixation into the ilia.