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Lumbar Facet-Posterior Fracture
Bryson Borg, MD; Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Fracture of lumbar facet or neural arch (excluding pedicle and pars interarticularis)

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Khurana B et al: Traumatic thoracolumbar spine injuries: what the spine surgeon wants to know. Radiographics. 33(7):2031-46, 2013
                                2. Kaya RA et al: Modified transpedicular approach for the surgical treatment of severe thoracolumbar or lumbar burst fractures. Spine J. 4(2):208-17, 2004
                                3. Tsirikos AI et al: Traumatic lumbosacral dislocation: report of two cases. Spine. 29(8):E164-8, 2004
                                4. Mori K et al: Traumatic bilateral locked facet at L4-5: report of a case associated with incorrect use of a three-point seatbelt. Eur Spine J. 11(6):602-5, 2002
                                5. Malberg MI: A new system of classification for spinal injuries. Spine J. 1(1):18-25; discussion 125, 2001
                                6. McCormack RG et al: Isolated fracture of the vertebral articular facet in a gymnast. A spondylolysis mimic. Am J Sports Med. 27(1):104-6, 1999
                                7. Aihara T et al: Fracture-dislocation of the fifth lumbar vertebra. A new classification. J Bone Joint Surg Br. 80(5):840-5, 1998
                                8. Mann DC et al: Unusual causes of back pain in athletes. J Spinal Disord. 4(3):337-43, 1991
                                9. Hopp E et al: Postdecompression lumbar instability. Clin Orthop. 227:143-51, 1988
                                10. Manaster BJ et al: CT patterns of facet fracture dislocations in the thoracolumbar region. AJR Am J Roentgenol. 148(2):335-40, 1987
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Fracture of lumbar facet or neural arch (excluding pedicle and pars interarticularis)

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • CT Findings

                                              • MR Findings

                                                • Nuclear Medicine Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Khurana B et al: Traumatic thoracolumbar spine injuries: what the spine surgeon wants to know. Radiographics. 33(7):2031-46, 2013
                                                              2. Kaya RA et al: Modified transpedicular approach for the surgical treatment of severe thoracolumbar or lumbar burst fractures. Spine J. 4(2):208-17, 2004
                                                              3. Tsirikos AI et al: Traumatic lumbosacral dislocation: report of two cases. Spine. 29(8):E164-8, 2004
                                                              4. Mori K et al: Traumatic bilateral locked facet at L4-5: report of a case associated with incorrect use of a three-point seatbelt. Eur Spine J. 11(6):602-5, 2002
                                                              5. Malberg MI: A new system of classification for spinal injuries. Spine J. 1(1):18-25; discussion 125, 2001
                                                              6. McCormack RG et al: Isolated fracture of the vertebral articular facet in a gymnast. A spondylolysis mimic. Am J Sports Med. 27(1):104-6, 1999
                                                              7. Aihara T et al: Fracture-dislocation of the fifth lumbar vertebra. A new classification. J Bone Joint Surg Br. 80(5):840-5, 1998
                                                              8. Mann DC et al: Unusual causes of back pain in athletes. J Spinal Disord. 4(3):337-43, 1991
                                                              9. Hopp E et al: Postdecompression lumbar instability. Clin Orthop. 227:143-51, 1988
                                                              10. Manaster BJ et al: CT patterns of facet fracture dislocations in the thoracolumbar region. AJR Am J Roentgenol. 148(2):335-40, 1987