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Lumbar Facet-Posterior Fracture
Kevin R. Moore, MD; Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              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

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Alijanipour P et al: Isolated multiple lumbar transverse process fractures with spinal instability: an uncommon yet serious association. Eur Spine J. ePub, 2019
                                      2. Khurana B et al: CT for thoracic and lumbar spine fractures: can CT findings accurately predict posterior ligament complex injury? Eur Spine J. 27(12):3007-15, 2018
                                      3. Khurana B et al: Traumatic thoracolumbar spine injuries: what the spine surgeon wants to know. Radiographics. 33(7):2031-46, 2013
                                      4. 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
                                      5. Tsirikos AI et al: Traumatic lumbosacral dislocation: report of two cases. Spine. 29(8):E164-8, 2004
                                      6. 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
                                      7. Malberg MI: A new system of classification for spinal injuries. Spine J. 1(1):18-25; discussion 125, 2001
                                      8. 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
                                      9. Aihara T et al: Fracture-dislocation of the fifth lumbar vertebra. A new classification. J Bone Joint Surg Br. 80(5):840-5, 1998
                                      10. Mann DC et al: Unusual causes of back pain in athletes. J Spinal Disord. 4(3):337-43, 1991
                                      11. Hopp E et al: Postdecompression lumbar instability. Clin Orthop. 227:143-51, 1988
                                      12. 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

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  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

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Alijanipour P et al: Isolated multiple lumbar transverse process fractures with spinal instability: an uncommon yet serious association. Eur Spine J. ePub, 2019
                                                                          2. Khurana B et al: CT for thoracic and lumbar spine fractures: can CT findings accurately predict posterior ligament complex injury? Eur Spine J. 27(12):3007-15, 2018
                                                                          3. Khurana B et al: Traumatic thoracolumbar spine injuries: what the spine surgeon wants to know. Radiographics. 33(7):2031-46, 2013
                                                                          4. 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
                                                                          5. Tsirikos AI et al: Traumatic lumbosacral dislocation: report of two cases. Spine. 29(8):E164-8, 2004
                                                                          6. 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
                                                                          7. Malberg MI: A new system of classification for spinal injuries. Spine J. 1(1):18-25; discussion 125, 2001
                                                                          8. 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
                                                                          9. Aihara T et al: Fracture-dislocation of the fifth lumbar vertebra. A new classification. J Bone Joint Surg Br. 80(5):840-5, 1998
                                                                          10. Mann DC et al: Unusual causes of back pain in athletes. J Spinal Disord. 4(3):337-43, 1991
                                                                          11. Hopp E et al: Postdecompression lumbar instability. Clin Orthop. 227:143-51, 1988
                                                                          12. Manaster BJ et al: CT patterns of facet fracture dislocations in the thoracolumbar region. AJR Am J Roentgenol. 148(2):335-40, 1987