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Case Reports
. 2004;27(3):269-72.
doi: 10.1080/10790268.2004.11753761.

Bilateral locked facets of the lumbosacral spine: treatment with open reduction and transpedicular fixation

Paul M Arnold  1 , David G Malone, Patrick P Han
Affiliations
Case Reports

Bilateral locked facets of the lumbosacral spine: treatment with open reduction and transpedicular fixation

Paul M Arnold et al. J Spinal Cord Med. 2004.

Abstract

Background: A 23-year-old man was involved in a motor vehicle crash and found to have bilateral locked facets at L5-S1. His neurologic examination, radiographic workup, surgical management, postoperative care, and the relevant literature are discussed.

Design: Case report and literature review.

Results: This patient underwent solid fusion with anatomic alignment following open reduction and internal fixation. He made a good neurologic recovery.

Conclusion: Early surgery, consisting of open reduction, fixation, and fusion, provides the best results in patients with lumbosacral fracture-dislocations.

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