{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:48:31Z","timestamp":1740170911311,"version":"3.37.3"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,27]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Lumbar facet fractures are rarely reported and have been linked to sports and spine surgery. We describe the case of a 77-year-old patient who sustained an injury from multiple landmine blasts during the Vietnam War. He had low back pain since that time, which was initially managed conservatively. However, the pain progressed over decades to severe neurogenic claudication that greatly restricted his quality of life. Neuroimaging revealed the presence of bone fragments impinging on the spinal canal at the L5\/6 level (transitional anatomy) that resulted from a comminuted fracture of the lumbar facet at the inferior articular process. We performed an L5\/6 decompressive laminectomy, with removal of these fragments, and posterior instrumented fusion, with substantial improvement in symptoms. This case illustrates a unique mechanism of lumbar facet fracture and the biomechanic origination, natural history, and optimal treatment of this entity. We expand on the spectrum of lumbosacral injuries associated with the combat blast injury that have only increased in prevalence in recent conflicts.<\/jats:p>","DOI":"10.1093\/milmed\/usad358","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T10:54:25Z","timestamp":1694084065000},"page":"e902-e906","source":"Crossref","is-referenced-by-count":0,"title":["Landmine Injury Resulting in\u00a0Comminuted Lumbar Facet Fracture as a Cause of\u00a0Lumbar Stenosis and\u00a0Spondylolisthesis"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3158-9471","authenticated-orcid":false,"given":"Jason A","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Veterans Affairs Boston Healthcare System , West Roxbury, MA 02132, USA"},{"name":"Department of Neurosurgery, Brigham and Women\u2019s Hospital, Harvard Medical School , Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A","family":"Mooney","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Veterans Affairs Boston Healthcare System , West Roxbury, MA 02132, USA"},{"name":"Department of Neurosurgery, Brigham and Women\u2019s Hospital, Harvard Medical School , Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob R","family":"Rachlin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Veterans Affairs Boston Healthcare System , West Roxbury, MA 02132, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"issue":"4","key":"2024022722265456900_R1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/foc.2006.21.4.5","article-title":"Lumbar spine injuries in\u00a0athletes","volume":"21","author":"Dunn","year":"2006","journal-title":"Neurosurg 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