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Posterior osteosynthesis of a spontaneous bilateral pedicle fracture of the lumbar spine.

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Posterior osteosynthesis of a spontaneous bilateral pedicle fracture of the lumbar spine.

J Neurosurg Spine. 2015 Nov 20;:1-4

Authors: Han SH, Hyun SJ, Jahng TA, Kim KJ

Abstract
Spontaneous bilateral pedicle fractures of the lumbar spine are rare, and an optimal surgical treatment has not been suggested. The authors report the case of a 50-year-old woman who presented with low-back pain and right leg radiating pain of 1 year’s duration. Radiological studies revealed a spontaneous bilateral pedicle fracture of L-5. All efforts at conservative treatment failed, and the patient underwent surgery for osteosynthesis of the fractured pedicle using bilateral pedicle screws connected with a bent rod. Her low-back and right leg pain were relieved postoperatively. A CT scan performed 3 months postoperatively revealed the disappearance of the pedicle fracture gap and presence of newly formed bony trabeculation. In rare cases of spontaneous bilateral pedicle fracture of the lumbar spine, osteosynthesis of the fractured pedicle using bilateral pedicle screws and a bent rod is a motion-preserving technique that may be an effective option when conservative management has failed.

PMID: 26588501 [PubMed – as supplied by publisher]

Posterior osteosynthesis of a spontaneous bilateral pedicle fracture of the lumbar spine | Artificial disc replacement as good or better than spinal fusion surgery study suggests

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