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Although dislodgement and migration of LAGB tubing was reported formerly, this is actually the first report of trans-foraminal migration and erosion of lumbar vertebrae, causing osteomyelitis of the back and epidural abscess development, subsequent instability and neurologic deficit requiring immediate operative input. Dislodgement and migration of LAGB tubing is a known complication. Whilst it mostly causes abdominal and pelvic sequelae, in rare circumstances it mi