{"id":"1cae93e9-2c63-4ae0-a2f4-f675fcff2dea","slug":"management-of-distraction-injury-of-the-lumbosacral-junction-with-unilateral-perched-facet","title":"Management of distraction injury of the lumbosacral junction with unilateral perched facet","authors":["Clemens M. Schirmer","Erica F. Bisson"],"abstract":"Background: Traumatic unilateral facet dislocation without fracture is an uncommon injury of the lumbosacral junction. We describe a case of a unilateral perched L5–S1 facet causing axial back pain and radiculopathy provoked by motion. Case Description: The patient underwent reduction with complete facetectomy followed by internal fixation at L5–S1, facilitating decompression of the S1 nerve root. Postoperatively, the patient reported improvement in her pain. Conclusions: This injury can be recognized using subtle clues, such as transverse process fractures and/or widened posterior elements. Despite its rarity, when identified, this injury can be characterized using the new TLICS system for thoracolumbar fractures and should be managed accordingly.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1cae93e9-2c63-4ae0-a2f4-f675fcff2dea/featured/hero-1782421018750.png","publishDate":"2011-03-03T00:00:00.000Z","doi":"10.4103/2152-7806.77278","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/3252/SNI-2-26.pdf"}