Traumatic lumbosacral dislocation - Case report

Study Design. A case report of a bilateral lumbosacral dislocation without a fracture is presented. Objective. To report the diagnosis and treatment of a traumatic lumbosacral dislocation. Summary of Background Data. Lumbosacral dislocations without fractures are rare injuries, with only four cases reported in literature. The recommended treatment consists of an anterior lumbar interbody fusion after posterior reduction with pedicle screw instrumentation. Methods. The 1-year follow-up evaluation of a 17-year-old mate with a traum atic lumbosacral dislocation, diagnosed with computed tomography and magnet ic resonance imaging, and treated with a posterior lumbar interbody fusion procedure combined with a posterolateral fusion is reported. Results. At 1 year after surgery the patient is asymptomatic and has resume d his heavy manual work. Radiologic evidence of interbody fusion is present . Conclusions. Lumbosacral dislocations are rare injuries. The authors demons trate the feasability of a posterior lumbar interbody fusion procedure in c ombination with posterolateral instrumentation and fusion.