Bilateral Locked Facets at Lower Lumbar Spine Without Facet Fracture: A Case Report
نویسندگان
چکیده
Bilateral locked facets at L4-5 without facet fracture is a rarely known disease. We present a case of a 37-year-old male patient diagnosed as traumatic L4-5 bilateral facets dislocation without facet fracture. We carried out open reduction, epidural hematoma removal, posterior interbody fusion. After surgery, we attained rapid improvement of the neurologic deficits and competent stabilization.
منابع مشابه
Early Surgical Treatment in Bilateral Cervical Locked Facets: Case Report
Bilateral locked facets occur by a hyperflexion mechanism and commonly associated with neurological involvement [1]. This type of spinal injury is the most severe form and seen in about % 5 of the cases [2]. Bilateral faset dislocation occurs when a vertebras inferior facet dislocates anteriorly over the vertebras superior facet due to hyperflexionş locking in the intervertebral foramens, creat...
متن کاملCT of bilateral lumbosacral facet dislocation.
Traumatic injuries to the lumbar spine that result in dislocation and locking of facet jOints are unusual. Unilateral injuries of this type involving the lower lumbar spine, however, have been reported [1-3]. To our knowledge, the CT findings of bilateral facet dislocations at th is level have not been described. In this report we describe the CT and surgical find ings of two patients who had a...
متن کاملSurgery for Locked Cervical Facets: A Technical Note
Cervical facet fractures and dislocations represent approximately 6% of all cervical spine fractures.1 The clinical spectrum of these injuries ranges from patient being neurologically intact to complete neurological deficits. They can be unilateral or bilateral and may be associated with subluxation or dislocations. The unilateral facet dislocations are produced because of flexion, hyperextensi...
متن کاملThe Cause of Foot-Drop in a Patient with Ganglion Cyst in Lumbar Region: A Case Report
Ganglion cysts usually originate from vertebral facet joints in the spine that are often located at the dorsal portion of the facet being usually asymptomatic. In this case, we report a 60 year-old woman presented with suddenly developed lower back pain and right leg foot-drop. Lumbar Magnetic Resonance Imaging examination revealed a large cystic lesion at L5 body level. The cystic lesion was r...
متن کاملCT patterns of facet fracture dislocations in the thoracolumbar region.
Thoracolumbar facets are not as commonly dislocated as are those of the cervical spine. It is, however, crucial to make an early and accurate diagnosis of thoracolumbar facet dislocation since the injury may be unstable and require reduction and internal fixation. This paper presents three major CT patterns of thoracolumbar facet fracture dislocation. The first represents anterior subluxation o...
متن کامل