Abstract
Lumbosacral fracture dislocation is a very rare lesion and was first described by
Watson-Jones in 1940. Two anatomical classifications are described in the literature,
all other reports are case presentations.
This fracture type is characterised by an antero- or retrolisthesis or a lateral translation
of the 5th lumbar vertebra in relation to the sacrum. Biomechanics are discussed controversially.
Most patients suffer from a high energy trauma with concomitant severe injuries. There
is a high rate of additional neurological deficits. Fractures of the transverse process
are thought to be sentinel fractures. MRI and CT scans are essential to detect the
whole extent of the lesion. Circumferential fusion is recommended by several authors
to regain stability at the lumbosacral junction.
Keywords
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Article info
Publication history
Accepted:
June 3,
2009
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
