Author/Authors :
Theiss, Steven M. UAB Faculty Office Tower - Birmingham, USA , Moon, Andrew S. UAB Faculty Office Tower - Birmingham, USA , Atesok, Kivanc UAB Faculty Office Tower - Birmingham, USA , Niemeier, Thomas E. UAB Faculty Office Tower - Birmingham, USA , Manoharan, Sakthivel R. UAB Faculty Office Tower - Birmingham, USA , Pittman, Jason L. UAB Faculty Office Tower - Birmingham, USA
Abstract :
Traumatic lumbosacral dislocation is a rare, high-energy mechanism injury characterized by displacement of the fifth lumbarvertebra in relation to the sacrum. Due to the violent trauma typically associated with this lesion, there are often severe, coexistinginjuries. High-quality radiographic studies, in addition to appropriate utilization of CT scan and MRI, are essential for properevaluation and diagnosis. Although reports in the literature include nonoperative and operative management, most authorsadvocate for surgical treatment with open reduction and decompression with instrumentation and fusion. Despite advances inearly diagnosis and management, this injury type is associated with significant morbidity and mortality, and long-term patientoutcomes remain unclear.