Post Traumatic L5-S1 Dislocation

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Drissi Ghassen
Farid Harrar
Mohamed Khaled

Abstract

Lumbosacral dislocations are rare disorders. We report here the case of a 66-year-old man victim of a heavy load crush with right lumbar impact point causing lumbar trauma.


The examination showed a lumbar swelling corresponding to a subcutaneous hematoma. There were no signs of spinal nerves injury.


Radiographic examination showed L5-S1 anterolisthesis grade II with staged breaks of the transverse processes of L2 to L5. Computed Tomography Scan confirmed these findings and also revealed a bilateral anterior and asymmetric anterior dislocation of the L5 vertebra on the sacrum without evidence of disc herniation.


The patient underwent surgery within 24 hours. After L5 laminectomy, L5-S1 discectomy and segmental reduction and stabilisation by lumbo-sacro-iliac arthrodesis.


After 10-month follow-up, the patient was satisfied and did not show any discomfort.

Keywords:
Post traumatic, L5-S1 anterolisthesis, grade II, laminectomy, lumbo-sacro-iliac arthrodesis

Article Details

How to Cite
Ghassen, D., Harrar, F., & Khaled, M. (2018). Post Traumatic L5-S1 Dislocation. International Journal of Medical and Pharmaceutical Case Reports, 11(4), 1-6. https://doi.org/10.9734/IJMPCR/2018/45467
Section
Case Report

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