Abstract
Background: Nontraumatic pedicle fracture is uncommon, with sparsely described cases of conservative management versus surgical treatment by open fusion or percutaneous fixation. Methods: We report the case of a 60-year-old woman with nontraumatic L4 and L5 pedicle fracture who developed additional pedicle fractures at L3 while undergoing conservative management in a brace. The patient underwent percutaneous pediculosynthesis with screw fixation without fusion at L3-5 bilaterally. Results: The treatment led to fracture healing with good radiographic result and resolution of her symptoms. Conclusions: A trial of conservative management is typically warranted in most cases of nontraumatic pedicle fracture, but there is risk of refractory or progressive symptoms and subsequent fracture. Minimally invasive fixation is a viable surgical option that can be used in multilevel fractures.
Original language | English (US) |
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Pages (from-to) | 132-136 |
Number of pages | 5 |
Journal | World neurosurgery |
Volume | 174 |
DOIs | |
State | Published - Jun 2023 |
Keywords
- Minimally invasive
- Pedicle fracture
- Pedicle screw
- Spine
ASJC Scopus subject areas
- Surgery
- Clinical Neurology