Scientific publications

Traumatic lumbosacral dislocation in a 5-year-old boy with eight years follow-up

Beguiristáin J., Schweitzer D., Mora G., Pombo V.
Department of Orthopaedic Surgery, School of Medicine, University of Navarra, Pamplona, Spain.

Magazine: Spine

Date: Feb 1, 1995

Orthopedic Surgery and Traumatology [SP]

STUDY DESIGN
The authors present an unusual case of pure traumatic bilateral lumbosacral dislocation in a 5-year-old boy, the conservative treatment carried out, and the long-term result.

OBJECTIVES
To describe a rare traumatic lesion in children and evaluate the result obtained with conservative treatment.

SUMMARY OF BACKGROUND DATA
Watson-Jones was the first to describe this type of lesion. Since then, only a few cases have been added. Most authors suggest that open reduction should be carried out. No cases of this type of injury in children have been reported.

METHODS
A 5-year-old boy was hit in the lumbosacral region with a rocking chair. Examination showed neurologic deficit of left L5 and S1 nerve roots. Roentgenographic examination and computed tomography scan confirmed the anterior dislocation of the fifth lumbar vertebra on the sacrum without any fracture. He was treated with traction, followed by hyperextension in a Cotrel traction table and further immobilization with a lumbar plaster jacket.

RESULTS
Eight years after the injury, the patient had no neurologic deficit and lumbar radiographs showed a good alignment of the lumbosacral spine.

CONCLUSION
In children with traumatic lumbosacral dislocation, closed reduction should be attempted even if neurologic deficit is present.

CITATION  Spine (Phila Pa 1976). 1995 Feb 1;20(3):362-6

you maybe interested

WHAT TECHNOLOGY
DO WE USE?

The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.

Imagen de un PET, tecnología de vanguardia en la Clínica Universidad de Navarra

OUR
PROFESSIONALS

The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.

Imagen profesionales de la Clínica Universidad de Navarra

WHY CHOOSE
THE CLINICA?

Learn why we are different from other healthcare centers. Quality, speed, comfort and results.

Imagen del edificio de la Clínica Universidad de Navarra