Journal of Musculoskeletal Trauma

Case Reports

Neglected Unilateral Subluxation of Facet Joint in Lumbar Spine of Multiple Trauma Patient: A Case Report: Ye Soo Park, Min Kun Kim, Jae Lim Cho; J Korean Soc Fract 2000;13(1):52-55. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.52

Abstract PDF: Unilateral dislocation or subluxation of a facet in lumbar spine is extremely rare, so it has been often neglected. The mechanism of injury is hyperflexion and distraction forces. As for the treatment of lumbar facet dislocation and subluxation, open reduction and internal fixation by the posterior approach has been recommended because the injuries are resistant to closed reduction and they may cause chronic instability. We report a case of neglected unilateral subluxation of facet joint in lumbar spine of multiple trauma patient, which was treated by open reduction and internal fixation with posterolateral fusion. In the multiple trauma patients, it is mandatory to the meticulous diagnosis and treatment.

Unilateral Facet dislocation of Lumbosacral Junction: a case report: Bu Hwan Kim, Jong In Im, Yong Kyun Im, Chang Hoon Ryu; J Korean Soc Fract 1999;12(1):98-102. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.98

Abstract PDF: Unilateral lumbosacral facet dislocation is very rare. In a review of literatures, only 14 cases have been documented. We could not find any report about this unusual injury in Korea. The mechanism of injury is hyperflexion and rotation. In general, attention is drawn to the association of fractured transverse process as an important clue to diagnosis. Attempts at closed reduction are futile, and the treatment of choice is open reduction and internal fixation with lumbosacral fusion.

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