Two-level spontaneous pedicle fracture above a degenerative spondylolisthesis and minimally invasive treatment
| Autor: | Matthew Bahoura, Richard Floyd Cook, Daniel A Carr, Doris Tong, Teck M Soo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Osteosynthesis business.industry Case Report General Medicine lumbar fracture Fracture treatment Degenerative spondylolisthesis 030218 nuclear medicine & medical imaging Surgery Compression screw neural arch stability 03 medical and health sciences 0302 clinical medicine pedicle fracture pedicle sclerosis Back pain medicine Lumbar fracture medicine.symptom Pedicle screw business 030217 neurology & neurosurgery |
| Zdroj: | Asian Journal of Neurosurgery |
| ISSN: | 2248-9614 1793-5482 |
| Popis: | This is a case report and literature review. The objectives of the study are to describe minimally invasive treatment of pedicle fractures, to show contralateral pedicle changes with pedicle fracture treatment, and to review literature on incidence and mechanism of neural arch fractures. After conservative therapy, there are several options for the treatment of pedicle fractures including pediculoplasty, osteosynthesis, or fusion. As patients' age increases, the incidence of pedicle fracture may rise and minimally invasive pedicle screw treatment represents a good motion-preserving option to stabilize without fusion. We report a patient with spontaneous pedicle fractures above a degenerative spondylolisthesis and evidence of contralateral pedicle changes at L2 and L3. After minimally invasive pedicle screw placement, postoperative imaging demonstrated trabeculation across both L2 and L3 fractures with a resolution of contralateral pedicle sclerotic changes and healing of incompletely fracture contralateral pedicle at L2. Pedicle fractures lead to contralateral pedicle sclerotic changes and potential fracture and may cause significant back pain. Stabilization and healing of the neural arch can be achieved with minimally invasive placement of pedicle screws without need for fusion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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