Image-Guided Percutaneous Multilevel Pediculosynthesis for Treatment of Contiguous Pedicle Stress Fractures: Technical Case Report

Julia Yi, Matthew C. MacAllister, James P. Caruso, Paolo Palmisciano, Zachary D. Johnson, Giuseppe E. Umana, Mazin Al Tamimi, Carlos A. Bagley, Salah G. Aoun

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)132-136
Number of pages5
JournalWorld neurosurgery
Volume174
DOIs
StatePublished - Jun 2023

Keywords

  • Minimally invasive
  • Pedicle fracture
  • Pedicle screw
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Image-Guided Percutaneous Multilevel Pediculosynthesis for Treatment of Contiguous Pedicle Stress Fractures: Technical Case Report'. Together they form a unique fingerprint.

Cite this