Citation Information :
Viswanathan VK, Radhakrishnan A, Sivakumar G, Devadoss S, Devadoss A, Ramachandran M. Delayed Presentation of Traumatic Lumbosacral Dislocation: Report of a Rare Injury and a Comprehensive Review of Basic Principles of Management. J Orth Joint Surg 2025; 7 (1):66-70.
Introduction: Traumatic lumbar dislocation (TLD) is a rare clinical entity and is characterized by dislocation of facets of the lower lumbar vertebrae over the articulating facets of subjacent vertebrae.
Case description: We hereby report two rare case scenarios of patients who presented with neglected TLD/traumatic lumbosacral dislocation (TLSD) injuries. The patients were managed surgically with laminectomy, vertebral reduction, and transforaminal lumbar interbody fusion (TLIF).
Conclusion: These cases are highlighted for their rarity. We have comprehensively discussed the unique technical challenges faced by the surgical team and basic principles in the management of such injuries. TLD/TLSDs are rare injuries and can be safely managed surgically through wide decompression, complete reduction, and instrumented fusion using a posterior-only approach.
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