Traumatic complete lumbosacral spondylolisthesis combined with unstable pelvic fracture: a case report
10.3760/cma.j.cn121113-20240922-00524
- VernacularTitle:创伤性腰骶完全滑脱合并不稳定型骨盆骨折一例报告
- Author:
Jian JIA
1
;
Zhaojie LIU
1
;
Haotian QI
1
;
Shucai BAI
1
Author Information
1. 天津市天津医院骨盆创伤科，天津 300211
- Publication Type:Journal Article
- Keywords:
Pelvis;
Fractures, bone;
Lumbosacral region;
Dislocations;
Case reports
- From:
Chinese Journal of Orthopaedics
2025;45(15):1009-1013
- CountryChina
- Language:Chinese
-
Abstract:
A case of traumatic complete lumbosacral spondylolisthesis combined with unstable pelvic fracture is reported. A 55-year-old male patient was admitted to the hospital 8 h after being hit by a heavy object on the lumbosacral region. Admission diagnosis: (1) traumatic hemorrhagic shock; (2) bilateral pulmonary contusion with pleural effusion, and dislocation of the right 12th costovertebral joint; (3) left renal contusion with subcapsular hematoma; (4) traumatic lumbosacral spondylolisthesis (Meyerding grade V), L 5 lamina fracture, L 2 and L 5 spinous process fractures, left L 3-L 5 transverse process fractures, right L 5 inferior articular process fracture, and L 1-L 3 and L 5 transverse process fractures; (5) lumbosacral Morel-Lavallée lesion; (6) pubic symphysis separation, left sacral wing fracture, and sacroiliac joint dislocation (Young-Burgess APC type III); (7) Multiple incomplete injuries of bilateral lumbosacral nerves, and cauda equina syndrome (Gibbons type Ⅳ). The patient underwent open reduction of pelvic fracture and pubic symphysis separation, closed reduction of sacroiliac joint dislocation and combined internal and external fixation, and open reduction and internal fixation of lumbosacral spondylolisthesis. At the 1-year follow-up after surgery, the pelvis achieved anatomical reduction with good fracture healing, the spinal anatomical alignment returned to normal, and lumbosacral bony fusion was observed, and weakness of both lower limbs and abnormal urodynamics caused by residual lumbosacral nerve injury were observed.
