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Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

机译:创伤性腰ac骨脱位:诊断和治疗的当前概念。

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摘要

Traumatic lumbosacral dislocation is a rare, high-energy mechanism injury characterized by displacement of the fifth lumbar vertebra in relation to the sacrum. Due to the violent trauma typically associated with this lesion, there are often severe, coexisting injuries. High-quality radiographic studies, in addition to appropriate utilization of CT scan and MRI, are essential for proper evaluation and diagnosis. Although reports in the literature include nonoperative and operative management, most authors advocate for surgical treatment with open reduction and decompression with instrumentation and fusion. Despite advances in early diagnosis and management, this injury type is associated with significant morbidity and mortality, and long-term patient outcomes remain unclear.
机译:外伤性腰s骨脱位是一种罕见的高能量机制损伤,其特征为第五腰椎相对于ac骨移位。由于通常与该病变相关的剧烈创伤,通常会造成严重的并存伤害。除适当利用CT扫描和MRI之外,高质量的放射学研究对于正确的评估和诊断也至关重要。尽管文献中的报道包括非手术和手术治疗,但大多数作者主张采用切开复位减压术和器械融合术进行手术治疗。尽管在早期诊断和治疗方面取得了进步,但这种损伤类型与明显的发病率和死亡率相关,并且长期的患者预后尚不清楚。

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