A 15-year-old boy presented to the casualty with a history of acute-onset low backpain and lower limb weakness after lifting of a heavy Indian musical instrument (Dholak). The patient had developed urinary retention since the time of injury. The patient had numbness, tingling sensation in both his lower limbs and was unable to stand or walk. Examination revealed Grade 0 power of bilateral ankle dorsiflexors, extensor hallucis longus, and extensor digitorum. He had Grade 3 power of ankle plantar flexors bilaterally. Ankle jerk was absent bilaterally. He had diminished sensations in L5 and sacral dermatomes. Bulbocavernosus reflex was absent. Emergency magnetic resonance imaging (MRI) imaging was done, which revealed a limbus fracture of cephalad part of L4 vertebral body with displaced fragment into the spinal canal severely compressing the cauda equina ( and ). Emergency surgery was done in the form of L3-L4 midline interlaminar microscopic decompression. All loose and extruded disc fragments were removed. Bony bump was pushed back into position using a hockey stick punch. The patient showed signs of neurological recovery in the immediate post-operative period. The patient had complete neurological recovery including the bladder control within 1 month of surgery. He had no functional deficits during follow-up at 3-6 months. Dynamic radiographs taken at the end of 6 months did not show any sign of instability ().