{"id":"f707b6ed-bb01-4b95-a6ee-cfc7fb2a9ce3","slug":"traumatic-l5-s1-bilateral-locked-facets-with-bilateral-pars-fractures-a-case-report","title":"Traumatic L5/S1 bilateral locked facets with bilateral pars fractures – A case report","authors":["Fawwaz Bin Shahab","Amna Ghouri","Manzar Hussain","Sadaf Nasir"],"abstract":"Background: Although rare, traumatic lumbosacral (L/S) Grade I spondylolisthesis (i.e., Lumbar locked facet syndrome) is characterized by unilateral or bilateral facet dislocations. Case Description: A 25-year-old male presented following a high velocity road traffic accident with back pain and tenderness at the L/S junction. His radiologic images showed bilateral locked facets at the L5/S1 level with Grade 1 spondylolisthesis, bilateral pars fractures, acute traumatic L5/S1 disc herniation, and disruption of the anterior and posterior longitudinal ligaments. After undergoing a L4-S1 laminectomy with pedicle screw fixation, he became asymptomatic and remained neurologically stable. Conclusion: L5/S1 facet dislocation whether unilateral or bilateral needs to be diagnosed early and treated with realignment and instrumented stabilization.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/f707b6ed-bb01-4b95-a6ee-cfc7fb2a9ce3/featured/hero-1781560264917.png","publishDate":"2023-06-08T00:00:00.000Z","doi":"10.25259/SNI_1077_2022","categories":["General Neurosurgery","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/06/12355/SNI-14-200.pdf"}