The authors present a very uncommon case of unilateral lumbosacral dislocation. Twenty two similar cases have been published in the literature so far. Most of them occurred due to the flexion mechanism of injury, in our case the injury was caused by a combination of hyperextension and subsequent flexion with rotation. This rare injury can create diagnostic dilemma and in relation to complexity of soft tissue lesion we propose early circumferential instrumented fusion of lumbosacral region.

Klinik für Orthopädie und Traumatologie des Bewegungsapparates Medizinische Fakultät der Karls Universität und Universitätskrankenhaus Pilsen Czech Republic

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Unilateral isolated dislocation at the lumbosacral junction: lateral flexion-distraction as a major vector in the mechanism of injury: case report and trauma mechanism analysis