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KMID : 0361620130480010043
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Journal of the Korean Orthopaedic Association
2013 Volume.48 No. 1 p.43 ~ p.48
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Traumatic Anterolateral Fracture-Dislocation of the Lumbosacral Spine by Horizontal Shear Force
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Kang Chang-Nam
Kong Dong-Yi
Suh Seoung-Pyo
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Abstract
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Lumbosacral fracture-dislocation is very rare because of the characteristic anatomical features, and various displacements by injury mechanisms have been reported. Most of the reports were displaced by flexion, distraction, compression and rotation. Complete reduction and appropriate treatment can be difficult or impossible in the case of delayed diagnosis. We report a case of lumbosacral fracture & dislocation that occured in horizontal shear and flexion, which was correctly diagnosed and treated successfully with partial corpectomy, open reduction, posterior interbody fusion and transpedicular fixation with posterolateral fusion by posterior approach only.
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KEYWORD
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lumbosacral region, anterolateral fracture-dislocation, horizontal shear
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