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

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Traumatic complete lateral dislocation at the lumbosacral junction: a case report.

Navid R Arandi¹, Gregory M Mundis, Nima Kabirian

¹San Diego Center for Spinal Disorders, La Jolla, CA.

Journal of Spinal Disorders & Techniques

|February 12, 2014

Summary

This case report details a rare lumbosacral dislocation from high-energy trauma. Surgical management with combined anterior/posterior arthrodesis effectively stabilized the spine and improved neurological function.

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Area of Science:

Orthopedic Surgery
Spinal Trauma
Case Report

Background:

Complete lumbosacral dislocations are rare, high-energy trauma injuries.
Anatomic stabilization is challenging, often requiring open fixation and arthrodesis.

Observation:

A 22-year-old male sustained a complete lateral dislocation of L5 over the sacrum after a motorcycle accident.
The patient presented with lower extremity neurological deficits.

Findings:

Surgical management involved combined anterior and posterior arthrodesis, posterior decompression, and instrumentation.
Successful spinal alignment and arthrodesis were achieved.
The patient experienced improved neurological function and ambulation.

Implications:

Combined anterior and posterior arthrodesis is an effective treatment for lumbosacral dislocations.
This approach can lead to successful outcomes in severe spinal trauma.
Highlights the importance of surgical intervention for spinal stability and neurological recovery.