Incidental Idiopathic Bilateral Pedicle Fracture - Case Report and Literature Review.
incidental
observative therapy
pedicle fracture
spontaneous
without trauma
Journal
NMC case report journal
ISSN: 2188-4226
Titre abrégé: NMC Case Rep J
Pays: Japan
ID NLM: 101692589
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
25
07
2018
accepted:
03
10
2018
entrez:
1
2
2019
pubmed:
1
2
2019
medline:
1
2
2019
Statut:
epublish
Résumé
In rare cases, pedicle fracture is associated with spine surgery, spondylolysis, or stress fracture. We report a patient without trauma whose bilateral lumbar pedicle fracture was detected incidentally. A 67-year-old woman reported leg numbness and pain. Lumbar MRI showed spinal canal stenosis at the L4/L5 level. Drug treatment was only partially effective. A lumbar computed tomography (CT) scan performed 3 months later revealed bilateral pedicle fracture at L4. A second lumbar MRI showed fresh bilateral L4 pedicle fracture that was not observed on the first scan. Due to the presence of osteoporosis we prescribed daily teriparatide and the wearing of a lumbo-sacral corset. Her subsequent clinical course was uneventful and the fractures fused under conservative treatment. During this period, she had no low back pain (LBP). Only 12 earlier patients with spontaneous bilateral pedicle fracture without trauma, spinal surgery, or bone abnormality have been reported. In 8 patients, including ours, the fracture level was at L4. In all except our patient, LBP was the most common symptom. Pedicle fracture as detected incidentally in our patient. Of the 13 patients, 4 were physically active adolescents; of the 9 others, 5 were women with osteoporosis. Our case is the first report of incidental spontaneous bilateral pedicle fracture.
Identifiants
pubmed: 30701154
doi: 10.2176/nmccrj.cr.2018-0185
pii: nmccrj-6-35
pmc: PMC6350026
doi:
Types de publication
Case Reports
Langues
eng
Pagination
35-37Déclaration de conflit d'intérêts
Conflicts of Interest Disclosure All authors have no conflict of interest.
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