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Updated: May 3, 2026
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
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.
Study Design:
This is a case report.
Objective:
To present a novel case of lumbosacral dislocation and its surgical management.
Summary Of Background Data:
Complete lumbosacral dislocations are rare injuries that ensue as a result of high-energy trauma. Anatomic stabilization of these injuries can be challenging and often involves open fixation and arthrodesis.
Methods:
We present the case of a 22-year-old male who was involved in a high-velocity motorcycle accident with neurological deficit in the lower extremities. Radiographic analysis demonstrated a complete lateral dislocation of L5 vertebral body over the sacrum. The patient was surgically managed with a combined anterior and posterior arthrodesis, posterior decompression, and instrumentation.
Results:
Successful arthrodesis and spinal alignment was achieved. The patient regained partial neurological function in the lower extremities with an improved Visual Analogue Scale score of 1 and was able to ambulate semi-independently at latest follow-up.
Conclusions:
A combined anterior and posterior arthrodesis with decompression and instrumentation is an effective method for the treatment of this type of lumbosacral dislocation.
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