Traumatic Bilateral Lumbosacral Jumped Facet Without Fracture in Childhood: Case Report and Systematic Review
Abstract
1. Introduction
1.1. Epidemiology
1.2. Anatomy and Biomechanics
1.3. Mechanism of Trauma
1.4. Radiological Findings
1.5. Clinical Presentation
1.6. Management
2. Materials and Methods
2.1. Study Setting and Search Strategy
2.2. Inclusion and Exclusion Criteria
2.3. Data Extraction and Analysis
3. Case Report
4. Results
4.1. Demographic and Clinical Characteristics
4.2. Injury Patterns and Neurological Status
4.3. Surgical Management and Clinical Outcomes
4.4. Radiological and Functional Outcomes
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Name, Year | Sex | Age | Trauma | Other Lesion | Level | Approach | Treatment | ASIA | ASIA Post | Treatment Outcome |
---|---|---|---|---|---|---|---|---|---|---|
Vetter SY, 2015 [13] | M | 12 | buried beneath a wall | open fracture left distal fibula, epiphysiolysis distal tibia. | L5–S1 | Posterior | closed reduction + percutaneo viti e barre | E | E | no deficit |
Yamaki VN, 2018 [14] | F | 4 | buried beneath a wall | L5–S1 | ant + post | D | D | able to walk independently, despite a persistent left foot drop | ||
Mishra A, 2015 [15] | M | 16 | fall from height | bilat pneumothorax | T4–5 | posterior | T3–T5 laminectomy and T3–T6 PSF | A | A | no improvement |
Mishra A, 2015 [15] | M | 12 | crushing accident | L4–L5 | posterior | L2–L5 PSF pedicle screw fixation | A | A | no improvement and development lumbar ernia | |
Mishra A, 2015 [15] | M | 18 | fall from height | T9 compression fracture | L1–L2 | post + ant | L2 corpectomy + L3–L4 PSF | A | A | death |
Esteves A, 2024 [16] | M | 5 | direct trauma to the lumbar spine (heavy object) | with L5 isthmic fractures and a sacral fracture | L5–S1 | posterior | open reduction of the L5–S1 facet joint dislocation associated with posterior lumbopelvic fixation (L4-iliac) | E | E | no neurological deficits |
Villarreal-Arroyo M, 2011 [17] | F | 8 | traumatic | none | L5–S1 | posterolateral | pedicle scree fixation L4-S1 | E | E | no neurologigal deficit |
Chandrashekhara SH 2011 [18] | M | 10 | fell from a running truck and was run over by the tractor-plough a | fracture of L3, disruption of articular facets | L4–L5 | Posterior | L2, L3, L4, L5 pedicle screw and rod fixation | A | B | paraplegia mild improvement |
Chandrashekhara SH 2011 [18] | M | 16 | traumatic motor vehicle crash | L2–L3–L4 | Post + ant | vertebrectomy L3 + posterior L1–L5 | A | A | ||
Yang X, 2015 [19] | F | 11 | crushed under a collapsed beam | transverse process fracture (L1–L5 in right) | L5–S1 | posterolateral | L5–S1 laminectomy, reduction, posterolateral fusion | D | E | No neurological deficit |
Rodrigues LM, 2015 [20] | M | 15 | buried beneath a wall | L5–S1 | post + ante | pedicle fixation and an anterior cage | C | D | PRE: bilaterally decreased muscle strength was observed POST: significant recovery of muscle strength in the lower limbs | |
Verhelst L, 2009 [21] | M | 6 | hit by a tractor | perineal breach, several hepatic lacerations, Morel-Lavalle’e lesion over the left hip and gluteal area | L5–S1 | posterior | L3-S2 pedicle screw fixation and posterolateral grafting. | A | A | complete loss of perineal sensation and loss of anal sphincter tone were found |
M Yazici, 1999 [22] | F | 6 | traumatic | L1–L2 | Posterior | modified Luque frame with sublaminar wires. | C | E | pre: incomplete paraplegia post: no neurologic deficit | |
H Abdel-Fattah, 1990 [23] | M | 18 | traumatic | L4–L5 | Posterior | Open reduction and internal fixation with a sacral rod and two Harrington rods | E | E | neurologically intact |
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Borruto, M.I.; Pomponi, M.; Velluto, C.; Marciano, A.; Proietti, L.; Scaramuzzo, L. Traumatic Bilateral Lumbosacral Jumped Facet Without Fracture in Childhood: Case Report and Systematic Review. J. Clin. Med. 2025, 14, 6228. https://doi.org/10.3390/jcm14176228
Borruto MI, Pomponi M, Velluto C, Marciano A, Proietti L, Scaramuzzo L. Traumatic Bilateral Lumbosacral Jumped Facet Without Fracture in Childhood: Case Report and Systematic Review. Journal of Clinical Medicine. 2025; 14(17):6228. https://doi.org/10.3390/jcm14176228
Chicago/Turabian StyleBorruto, Maria Ilaria, Michele Pomponi, Calogero Velluto, Achille Marciano, Luca Proietti, and Laura Scaramuzzo. 2025. "Traumatic Bilateral Lumbosacral Jumped Facet Without Fracture in Childhood: Case Report and Systematic Review" Journal of Clinical Medicine 14, no. 17: 6228. https://doi.org/10.3390/jcm14176228
APA StyleBorruto, M. I., Pomponi, M., Velluto, C., Marciano, A., Proietti, L., & Scaramuzzo, L. (2025). Traumatic Bilateral Lumbosacral Jumped Facet Without Fracture in Childhood: Case Report and Systematic Review. Journal of Clinical Medicine, 14(17), 6228. https://doi.org/10.3390/jcm14176228