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Updated: Jun 14, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Published on: October 14, 2022

L3-L4 dislocation without neurological lesions.

Angel M Hidalgo-Ovejero¹, Serafín García-Mata, Francisco J Martínez-Lecea

¹Public University of Navarra, Pamplona, Spain. angelhidalgo@ya.com

Bulletin of the NYU Hospital for Joint Diseases

|March 30, 2010

Summary

This summary is machine-generated.

This case report details an exceptional mid-lumbar vertebral dislocation (L3-L4) without neurological deficits, treated successfully with closed reduction and surgical stabilization. It highlights a rare injury pattern and effective management strategies for spinal trauma.

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Last Updated: Jun 14, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Published on: October 14, 2022

Area of Science:

Orthopedics
Neurosurgery
Trauma Surgery

Background:

Vertebral dislocations are severe injuries, more common at thoracolumbar and sacrolumbar junctions.
Mid-lumbar vertebral dislocations are exceptionally rare, with limited documented cases.

Observation:

A case of L3-L4 vertebral dislocation without neurological deficits is presented.
The injury resulted from a high-energy event, specifically an airplane crash.

Findings:

The patient had no initial neurological deficits.
Treatment involved closed reduction using a halo-bifemoral system, followed by surgical pedicle instrumentation and arthrodesis from L2 to L5.

Implications:

This case expands the understanding of rare mid-lumbar spinal injuries.
Successful management with closed reduction and surgical fusion demonstrates a viable treatment approach for such severe trauma.