Lumbosacral dislocation revealing cauda equina syndrome treated with anterior lumbar interbody fusion (ALIF) - Laminectomy: A case report

Introduction: Lumbosacral dislocation revealing cauda equina syndrome is relatively uncommon and usually results from high-energy trauma. Case Presentation : We report the case of a 35-year-old patient with no previous history, admitted for lumbosacral trauma with acute urine retention and neurological deficits in both legs. The CT scan revealed an anterolisthesis of the 5th lumbar vertebra (L5) on the 1st sacral vertebra (S1). The patient was operated on with a posterior approach followed by ALIF. The patient’s neurological recovery was almost complete. Conclusions: Lumbosacral dislocation is a rare cause of compression of the cauda equina. This case report presents our first experience with a posterior approach followed by an anterior ALIF approach between L5 and S1.