Asian Spine J.  2010 Dec;4(2):128-131. 10.4184/asj.2010.4.2.128.

Open Reduction without Fusion of Bilateral Jumped Lumbosacral Facet Dislocation Associated with Symphysis Pubis Separation and Cauda Equina Syndrome: Case Report

• Ko SB
• Lee SW

• KMID: 2169566
• DOI: http://doi.org/10.4184/asj.2010.4.2.128

Abstract

This paper reports a rare case of a lumbosacral dislocation associated with symphysis pubis separation and cauda equina syndrome. A 39-year-old male who diagnosed traumatic lumbosacral dislocation underwent an open reduction without fusion. After an open reduction and internal fixation of a symphysis pubis separation, a missed lumbosacral dislocation was diagnosed and an open reduction was performed without fusion. Due to the symphysis pubis separation, the patient was not allowed weight bearing for 3 months, which then began from wheel chair ambulation. At the 6-month follow up evaluation, there was no back pain but the patient reported mild S1 nerve root sensory symptoms. Lumbosacral dislocation is common in high energy polytrauma patients and can be misdiagnosed. However, prompt reduction without fusion is a good alternative treatment.

Keyword

Lumbosacral facet dislocation; Polyradiculopathy; Open reduction; Non-fusion

MeSH Terms

Adult
Back Pain
Cauda Equina
Dislocations
Follow-Up Studies
Humans
Male
Polyradiculopathy
Walking
Weight-Bearing
Wheelchairs