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KMID : 1143720200160020313
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Korean Journal of Neurotrauma
2020 Volume.16 No. 2 p.313 ~ p.319
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Fracture-dislocation of L5 Combined with Multi-level Traumatic Spondylolisthesis of the Lower Lumbar Spine Treated via the Posterior-only Approach: A Case Report
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Park Gwang-Tae
Yu Dong-Woo
Kim Sang-Woo
Jeon Ik-Chan
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Abstract
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Fracture-dislocation of the lower lumbar spine, which is commonly caused by high-impact trauma and can lead to instability in the spine, is relatively rare. Surgical treatment is indicated to restore spinal balance, weight-bearing ability, and decompression of the neural elements. There are various available surgical options, including the posterior-only or anterior-only approaches, or a combination of them. However, there is still no definite classification and treatment strategy for fracture-dislocation of the lower lumbar spine. In this report, we describe a 65-year-old man presenting cauda equina syndrome caused by a fracture-dislocation of L5 combined with multi-level traumatic spondylolisthesis of the lower lumbar spine. The patient was treated via the posterior-only approach with neural decompression and anterior reconstruction with posterior instrumentation. We discuss the reasons why the posterior-only approach was decided upon and several meaningful points during the surgery in detail.
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KEYWORD
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Fifth lumbar vertebra, Corpectomy, Posterior approach, Fracture-dislocation, Lumbosacral
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