caa a22 4500 445833637 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1472-0 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1472-0 Unilateral isolated dislocation at the lumbosacral junction: lateral flexion-distraction as a major vector in the mechanism of injury [Elektronische Daten] Case report and trauma mechanism analysis [Martin Krbec, Pavel Hraběta] The description of the unusual mechanism of the trauma to lumbosacral junction is given based on the analysis of the clinical case. The injury of a patient with unilateral dislocation at the L5-S1 intervertebral joint without a bone lesion in this segment is reported. The patient suffered the injury by falling on one side from a height of 8m. The trauma mechanism is documented by MRI findings and a 3D CT reconstruction of the paravertebral muscles and soft tissues on the injured side, whilst showing intact structures on the contralateral side. This, together with the cause of injury (a fall on the side), provides evidence for forced lateral flexion-distraction being the major vector of the trauma event. Such mechanism of this injury was not taken in account by other authors yet. This type of injury is difficult to classify using the Magerl classification system. The very rare injury has been mentioned in the literature only occasionally. Springer-Verlag, 2010 Lumbosacral junction nationallicence Unilateral dislocation nationallicence Trauma mechanism nationallicence Krbec Martin Orthopaedic and Traumatologic Department, 3rd Faculty of Medicine, Faculty Hospital FNKV, Charles University, Šrobárova 50, 10034, Prague, Czech Republic aut Hraběta Pavel Radiodiagnostic Department, 3rd Faculty of Medicine, Faculty Hospital FNKV, Charles University, Šrobárova 50, 10034, Prague, Czech Republic aut European Spine Journal Springer-Verlag 20(2011-07-01), 166-171 0940-6719 20<166 2011 20 586 https://doi.org/10.1007/s00586-010-1472-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1472-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krbec Martin Orthopaedic and Traumatologic Department, 3rd Faculty of Medicine, Faculty Hospital FNKV, Charles University, Šrobárova 50, 10034, Prague, Czech Republic aut NATIONALLICENCE 700 1- Hraběta Pavel Radiodiagnostic Department, 3rd Faculty of Medicine, Faculty Hospital FNKV, Charles University, Šrobárova 50, 10034, Prague, Czech Republic aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 166-171 0940-6719 20<166 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer