Adjacent Bilateral Stress Pedicle Fractures after Instrumented Lumbar Fusion: A Case Report.
10.13004/kjnt.2017.13.1.54
- Author:
Hak Sung KIM
1
;
Sang Woo HA
;
Chang Il JU
;
Seok Won KIM
Author Information
1. Department of Neurosurgery, Chosun University Hospital, Chosun University School of Medicine, Gwangju, Korea. chosunns@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Fractures bone;
Lumbar vertebrae;
Spinal fusion
- MeSH:
Aged;
Fractures, Stress;
Humans;
Lumbar Vertebrae;
Spinal Fusion
- From:Korean Journal of Neurotrauma
2017;13(1):54-56
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bilateral pedicle stress fractures are rare even in the elderly. Bilateral pedicle fractures are due to post-surgical complications at the level of fusion or stress related activities in most cases. The authors describe a unique case of adjacent L4 bilateral pedicle fractures, which developed 4 years after anterior lumbar interbody fusion with bone cement augmented screw fixation at the L5-S1 level. As far as the authors' knowledge, no similar case has been previously reported in the literature. The pathophysiological mechanism of this rare entity is discussed with review of relevant literature.