{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:54:13Z","timestamp":1770353653927,"version":"3.49.0"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,10]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Traumatic bilateral lumbosacral facet dislocations without fractures are extremely rare. Only 7 cases have been documented since the first description by Watson-Jones in 1974. Although various treatment strategies have been reported, no consensus has been reached regarding the best surgical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 35-year-old female presented for medical attention following a high-speed motor vehicle collision. She sustained multiple injuries, including an abdominal aortic injury requiring emergent thoracic endovascular aortic repair. She was found to have bilateral lumbosacral dislocation without fracture (L5\u2013S1) and was noted to be neurologically intact. Once medically stabilized, the patient was taken to the operating room for minimally invasive reduction and stabilization of her lumbosacral spine. Postoperatively, the patient was neurologically intact and remained stable with no deficits and appropriate lumbosacral alignment throughout her 2-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The authors report a minimally invasive approach to the management of bilateral lumbosacral facet dislocation without fracture. Although conventional open approaches have been described previously, consideration should be given to minimally invasive strategies in select patients to facilitate their rehabilitative postoperative course.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23261","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T10:23:25Z","timestamp":1689071005000},"source":"Crossref","is-referenced-by-count":2,"title":["Traumatic bilateral lumbosacral facet dislocation without fracture: illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Jose","family":"Castillo","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadija","family":"Soufi","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Freddie","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julius O.","family":"Ebinu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"J Bone Joint Surg Br","first-page":"840","article-title":"Fracture-dislocation of the fifth lumbar vertebra. A new classification","volume":"80","author":"Aihara T","year":"1998","unstructured":"Aihara T, Takahashi K, Yamagata M, Moriya H. Fracture-dislocation of the fifth lumbar vertebra. A new classification. J Bone Joint Surg Br. 1998;80(5):840\u2013845.9768895"},{"issue":"3","key":"b2","series-title":"Spine (Phila Pa 1976)","first-page":"362","article-title":"Traumatic lumbosacral dislocation in a 5-year-old boy with eight years follow-up","volume":"20","author":"Beguiristain J","year":"1995","unstructured":"Beguiristain J, Schweitzer D, Mora G, Pombo V. Traumatic lumbosacral dislocation in a 5-year-old boy with eight years follow-up. Spine (Phila Pa 1976). 1995;20(3):362\u2013366."},{"issue":"3","key":"b3","series-title":"J Bone Joint Surg Br","first-page":"635","article-title":"Fracture-dislocation of the lumbo-sacral spine with cauda equina lesion. Report of two cases","volume":"50","author":"Dewey P","year":"1968","unstructured":"Dewey P, Browne PSH. Fracture-dislocation of the lumbo-sacral spine with cauda equina lesion. Report of two cases. J Bone Joint Surg Br. 1968;50(3):635\u2013638.5702056"},{"issue":"2","key":"b4","series-title":"J Spinal Disord","first-page":"174","article-title":"Posterior dislocation of the lumbosacral joint: a case report","volume":"3","author":"Gertzbein SD","year":"1990","unstructured":"Gertzbein SD. Posterior dislocation of the lumbosacral joint: a case report. J Spinal Disord. 1990;3(2):174\u2013178.2134426"},{"issue":"10","key":"b5","series-title":"Cureus","first-page":"e30417","article-title":"Pediatric bilateral lumbosacral dislocation without fracture: an exemplary case and literature review","volume":"14","author":"Santangelo G","year":"2022","unstructured":"Santangelo G, Catanzaro S, Contento N, Rahmani R, Silberstein H. Pediatric bilateral lumbosacral dislocation without fracture: an exemplary case and literature review. Cureus. 2022;14(10):e30417.36407276"},{"issue":"2","key":"b6","series-title":"J Orthop Sci","first-page":"189","article-title":"A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint","volume":"17","author":"Shinohara K","year":"2012","unstructured":"Shinohara K, Soshi S, Kida Y, Shinohara A, Marumo K. A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint. J Orthop Sci. 2012;17(2):189\u2013193.21559956"},{"issue":"7","key":"b7","series-title":"Spine (Phila Pa 1976)","first-page":"803","article-title":"Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome","volume":"29","author":"Verlaan JJ","year":"2004","unstructured":"Verlaan JJ, Diekerhof CH, Buskens E,  Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine (Phila Pa 1976). 2004;29(7):803\u2013814.15087804"},{"issue":"10","key":"b8","series-title":"Spine (Phila Pa 1976)","first-page":"E662","article-title":"Bilateral traumatic dislocation without fracture of the lumbosacral junction: case report and review of the literature","volume":"36","author":"Xu R","year":"2011","unstructured":"Xu R, Solakoglu C, Kretzer RM, McGirt MJ, Witham TF, Bydon A. Bilateral traumatic dislocation without fracture of the lumbosacral junction: case report and review of the literature. Spine (Phila Pa 1976). 2011;36(10):E662\u2013E668.21358473"},{"issue":"6","key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"756","article-title":"Traumatic lumbosacral dislocation","volume":"25","author":"Veras del Monte LM","year":"2000","unstructured":"Veras del Monte LM, Bag\u00f3 J. Traumatic lumbosacral dislocation. Spine (Phila Pa 1976). 2000;25(6):756\u2013759.10752113"},{"issue":"1","key":"b10","series-title":"Surg Neurol","first-page":"11","article-title":"Anterior lumbosacral dislocation: case report and review of the literature","volume":"50","author":"Roche PH","year":"1998","unstructured":"Roche PH, Dufour H, Graziani N, Jolivert J, Grisoli F. Anterior lumbosacral dislocation: case report and review of the literature. Surg Neurol. 1998;50(1):11\u201316.9657487"},{"issue":"8","key":"b11","series-title":"Spine (Phila Pa 1976)","first-page":"E164","article-title":"Traumatic lumbosacral dislocation: report of two cases","volume":"29","author":"Tsirikos AI","year":"2004","unstructured":"Tsirikos AI, Saifuddin A, Noordeen MH, Tucker SK. Traumatic lumbosacral dislocation: report of two cases. Spine (Phila Pa 1976). 2004;29(8):E164\u2013E168.15083005"},{"issue":"2","key":"b12","series-title":"Injury","first-page":"169","article-title":"Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy","volume":"38","author":"Vialle R","year":"2007","unstructured":"Vialle R, Charosky S, Rillardon L, Levassor N, Court C. Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy. Injury. 2007;38(2):169\u2013181.16984801"},{"issue":"11","key":"b13","series-title":"Spine J","first-page":"1705","article-title":"Traumatic bilateral facet dislocation of lumbar spine: \u201cdouble facet sign.\u201d","volume":"13","author":"Ra IH","year":"2013","unstructured":"Ra IH, Min WK. Traumatic bilateral facet dislocation of lumbar spine: \u201cdouble facet sign.\u201d Spine J. 2013;13(11):1705\u20131707.24126077"},{"issue":"8","key":"b14","series-title":"Spine (Phila Pa 1976)","first-page":"817","article-title":"The three column spine and its significance in the classification of acute thoracolumbar spinal injuries","volume":"8","author":"Denis F","year":"1983","unstructured":"Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983;8(8):817\u2013831.6670016"},{"issue":"6","key":"b15","series-title":"Skeletal Radiol","first-page":"360","article-title":"Imaging features of traumatic dislocation of the lumbosacral joint associated with disc herniation","volume":"32","author":"Tohme-Noun C","year":"2003","unstructured":"Tohme-Noun C, Rillardon L, Krainik A, Guigui P, Menu Y, Feydy A. Imaging features of traumatic dislocation of the lumbosacral joint associated with disc herniation. Skeletal Radiol. 2003;32(6):360\u2013363.12707738"},{"issue":"1","key":"b16","series-title":"J Bone Joint Surg Br","first-page":"58","article-title":"Lumbosacral fracture-dislocations. A report of four cases","volume":"63-B","author":"Das De S","year":"1981","unstructured":"Das De S, McCreath SW. Lumbosacral fracture-dislocations. A report of four cases. J Bone Joint Surg Br. 1981;63-B(1):58\u201360.7225186"},{"issue":"9","key":"b17","series-title":"Orthopedics","first-page":"1271","article-title":"Traumatic lumbosacral dislocation. A case report and review of the literature","volume":"10","author":"Wilchinsky ME","year":"1987","unstructured":"Wilchinsky ME. Traumatic lumbosacral dislocation. A case report and review of the literature. Orthopedics. 1987;10(9):1271\u20131274.3628111"},{"issue":"2","key":"b18","series-title":"Spine (Phila Pa 1976)","first-page":"218","article-title":"Unilateral lumbosacral facet fracture-dislocation","volume":"16","author":"Carl A","year":"1991","unstructured":"Carl A, Blair B. Unilateral lumbosacral facet fracture-dislocation. Spine (Phila Pa 1976). 1991;16(2):218\u2013221.2011781"},{"issue":"8","key":"b19","series-title":"Spine (Phila Pa 1976)","first-page":"956","article-title":"Unilateral dislocation of a lumbosacral facet","volume":"13","author":"Miz GS","year":"1988","unstructured":"Miz GS, Engler GL. Unilateral dislocation of a lumbosacral facet. Spine (Phila Pa 1976). 1988;13(8):956\u2013957.3187724"},{"issue":"02","key":"b20","series-title":"Chin J Anat Clin","first-page":"152","article-title":"Traumatic complete anterior dislocation at the lumbosacral junction: a case report and literature review","volume":"25","author":"Liu B","year":"2020","unstructured":"Liu B, Zhang H, Wang H,  Traumatic complete anterior dislocation at the lumbosacral junction: a case report and literature review. Chin J Anat Clin. 2020;25(02):152\u2013158."},{"issue":"3","key":"b21","series-title":"J Neurosurg Spine","first-page":"416","article-title":"Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review","volume":"24","author":"Goldstein CL","year":"2016","unstructured":"Goldstein CL, Macwan K, Sundararajan K, Rampersaud YR. Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review. J Neurosurg Spine. 2016;24(3):416\u2013427.26565767"},{"issue":"5","key":"b1","series-title":"J Bone Joint Surg Br","first-page":"840","article-title":"Fracture-dislocation of the fifth lumbar vertebra. A new classification","volume":"80","author":"Aihara T","year":"1998","unstructured":"Aihara T, Takahashi K, Yamagata M, Moriya H. Fracture-dislocation of the fifth lumbar vertebra. A new classification. J Bone Joint Surg Br. 1998;80(5):840\u2013845.9768895"},{"issue":"3","key":"b2","series-title":"Spine (Phila Pa 1976)","first-page":"362","article-title":"Traumatic lumbosacral dislocation in a 5-year-old boy with eight years follow-up","volume":"20","author":"Beguiristain J","year":"1995","unstructured":"Beguiristain J, Schweitzer D, Mora G, Pombo V. Traumatic lumbosacral dislocation in a 5-year-old boy with eight years follow-up. Spine (Phila Pa 1976). 1995;20(3):362\u2013366."},{"issue":"3","key":"b3","series-title":"J Bone Joint Surg Br","first-page":"635","article-title":"Fracture-dislocation of the lumbo-sacral spine with cauda equina lesion. Report of two cases","volume":"50","author":"Dewey P","year":"1968","unstructured":"Dewey P, Browne PSH. Fracture-dislocation of the lumbo-sacral spine with cauda equina lesion. Report of two cases. J Bone Joint Surg Br. 1968;50(3):635\u2013638.5702056"},{"issue":"2","key":"b4","series-title":"J Spinal Disord","first-page":"174","article-title":"Posterior dislocation of the lumbosacral joint: a case report","volume":"3","author":"Gertzbein SD","year":"1990","unstructured":"Gertzbein SD. Posterior dislocation of the lumbosacral joint: a case report. J Spinal Disord. 1990;3(2):174\u2013178.2134426"},{"issue":"10","key":"b5","series-title":"Cureus","first-page":"e30417","article-title":"Pediatric bilateral lumbosacral dislocation without fracture: an exemplary case and literature review","volume":"14","author":"Santangelo G","year":"2022","unstructured":"Santangelo G, Catanzaro S, Contento N, Rahmani R, Silberstein H. Pediatric bilateral lumbosacral dislocation without fracture: an exemplary case and literature review. Cureus. 2022;14(10):e30417.36407276"},{"issue":"2","key":"b6","series-title":"J Orthop Sci","first-page":"189","article-title":"A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint","volume":"17","author":"Shinohara K","year":"2012","unstructured":"Shinohara K, Soshi S, Kida Y, Shinohara A, Marumo K. A rare case of spinal injury: bilateral facet dislocation without fracture at the lumbosacral joint. J Orthop Sci. 2012;17(2):189\u2013193.21559956"},{"issue":"7","key":"b7","series-title":"Spine (Phila Pa 1976)","first-page":"803","article-title":"Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome","volume":"29","author":"Verlaan JJ","year":"2004","unstructured":"Verlaan JJ, Diekerhof CH, Buskens E,  Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine (Phila Pa 1976). 2004;29(7):803\u2013814.15087804"},{"issue":"10","key":"b8","series-title":"Spine (Phila Pa 1976)","first-page":"E662","article-title":"Bilateral traumatic dislocation without fracture of the lumbosacral junction: case report and review of the literature","volume":"36","author":"Xu R","year":"2011","unstructured":"Xu R, Solakoglu C, Kretzer RM, McGirt MJ, Witham TF, Bydon A. Bilateral traumatic dislocation without fracture of the lumbosacral junction: case report and review of the literature. Spine (Phila Pa 1976). 2011;36(10):E662\u2013E668.21358473"},{"issue":"6","key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"756","article-title":"Traumatic lumbosacral dislocation","volume":"25","author":"Veras del Monte LM","year":"2000","unstructured":"Veras del Monte LM, Bag\u00f3 J. Traumatic lumbosacral dislocation. Spine (Phila Pa 1976). 2000;25(6):756\u2013759.10752113"},{"issue":"1","key":"b10","series-title":"Surg Neurol","first-page":"11","article-title":"Anterior lumbosacral dislocation: case report and review of the literature","volume":"50","author":"Roche PH","year":"1998","unstructured":"Roche PH, Dufour H, Graziani N, Jolivert J, Grisoli F. Anterior lumbosacral dislocation: case report and review of the literature. Surg Neurol. 1998;50(1):11\u201316.9657487"},{"issue":"8","key":"b11","series-title":"Spine (Phila Pa 1976)","first-page":"E164","article-title":"Traumatic lumbosacral dislocation: report of two cases","volume":"29","author":"Tsirikos AI","year":"2004","unstructured":"Tsirikos AI, Saifuddin A, Noordeen MH, Tucker SK. Traumatic lumbosacral dislocation: report of two cases. Spine (Phila Pa 1976). 2004;29(8):E164\u2013E168.15083005"},{"issue":"2","key":"b12","series-title":"Injury","first-page":"169","article-title":"Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy","volume":"38","author":"Vialle R","year":"2007","unstructured":"Vialle R, Charosky S, Rillardon L, Levassor N, Court C. Traumatic dislocation of the lumbosacral junction diagnosis, anatomical classification and surgical strategy. Injury. 2007;38(2):169\u2013181.16984801"},{"issue":"11","key":"b13","series-title":"Spine J","first-page":"1705","article-title":"Traumatic bilateral facet dislocation of lumbar spine: \u201cdouble facet sign.\u201d","volume":"13","author":"Ra IH","year":"2013","unstructured":"Ra IH, Min WK. Traumatic bilateral facet dislocation of lumbar spine: \u201cdouble facet sign.\u201d Spine J. 2013;13(11):1705\u20131707.24126077"},{"issue":"8","key":"b14","series-title":"Spine (Phila Pa 1976)","first-page":"817","article-title":"The three column spine and its significance in the classification of acute thoracolumbar spinal injuries","volume":"8","author":"Denis F","year":"1983","unstructured":"Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983;8(8):817\u2013831.6670016"},{"issue":"6","key":"b15","series-title":"Skeletal Radiol","first-page":"360","article-title":"Imaging features of traumatic dislocation of the lumbosacral joint associated with disc herniation","volume":"32","author":"Tohme-Noun C","year":"2003","unstructured":"Tohme-Noun C, Rillardon L, Krainik A, Guigui P, Menu Y, Feydy A. Imaging features of traumatic dislocation of the lumbosacral joint associated with disc herniation. Skeletal Radiol. 2003;32(6):360\u2013363.12707738"},{"issue":"1","key":"b16","series-title":"J Bone Joint Surg Br","first-page":"58","article-title":"Lumbosacral fracture-dislocations. A report of four cases","volume":"63-B","author":"Das De S","year":"1981","unstructured":"Das De S, McCreath SW. Lumbosacral fracture-dislocations. A report of four cases. J Bone Joint Surg Br. 1981;63-B(1):58\u201360.7225186"},{"issue":"9","key":"b17","series-title":"Orthopedics","first-page":"1271","article-title":"Traumatic lumbosacral dislocation. A case report and review of the literature","volume":"10","author":"Wilchinsky ME","year":"1987","unstructured":"Wilchinsky ME. Traumatic lumbosacral dislocation. A case report and review of the literature. Orthopedics. 1987;10(9):1271\u20131274.3628111"},{"issue":"2","key":"b18","series-title":"Spine (Phila Pa 1976)","first-page":"218","article-title":"Unilateral lumbosacral facet fracture-dislocation","volume":"16","author":"Carl A","year":"1991","unstructured":"Carl A, Blair B. Unilateral lumbosacral facet fracture-dislocation. Spine (Phila Pa 1976). 1991;16(2):218\u2013221.2011781"},{"issue":"8","key":"b19","series-title":"Spine (Phila Pa 1976)","first-page":"956","article-title":"Unilateral dislocation of a lumbosacral facet","volume":"13","author":"Miz GS","year":"1988","unstructured":"Miz GS, Engler GL. Unilateral dislocation of a lumbosacral facet. Spine (Phila Pa 1976). 1988;13(8):956\u2013957.3187724"},{"issue":"02","key":"b20","series-title":"Chin J Anat Clin","first-page":"152","article-title":"Traumatic complete anterior dislocation at the lumbosacral junction: a case report and literature review","volume":"25","author":"Liu B","year":"2020","unstructured":"Liu B, Zhang H, Wang H,  Traumatic complete anterior dislocation at the lumbosacral junction: a case report and literature review. Chin J Anat Clin. 2020;25(02):152\u2013158."},{"issue":"3","key":"b21","series-title":"J Neurosurg Spine","first-page":"416","article-title":"Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review","volume":"24","author":"Goldstein CL","year":"2016","unstructured":"Goldstein CL, Macwan K, Sundararajan K, Rampersaud YR. Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review. J Neurosurg Spine. 2016;24(3):416\u2013427.26565767"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/6\/2\/article-CASE23261.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/6\/2\/article-CASE23261.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/6\/2\/article-CASE23261.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:33:28Z","timestamp":1770302008000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/6\/2\/article-CASE23261.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,10]]},"references-count":42,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/case23261","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,10]]}}}