Low back pain with fracture of the pedicle and contralateral spondylolysis. A technique of surgical management.
نویسندگان
چکیده
We present a 26-year-old athlete with severe low back pain associated with a fracture of a lumbar pedicle and contralateral spondylolysis. The difficulties of diagnosis are discussed together with the subject of segmental pain referral. A technique of operative management is described involving instrumentation of the symptomatic level alone.
منابع مشابه
Unilateral Pedicle Stress Fracture in a Long-Term Hemodialysis Patient with Isthmic Spondylolisthesis
Most unilateral pedicle stress fractures occur on the contralateral side of patients with unilateral spondylolysis. However, there are few reports of unilateral pedicle stress fractures in patients with bilateral spondylolysis and spondylolisthesis. We report a unique case of unilateral pedicle stress fracture in a long-term hemodialysis patient with isthmic spondylolisthesis. A 65-year-old man...
متن کاملV-Rod Technique for Direct Repair Surgery of Pediatric Lumbar Spondylolysis Combined with Posterior Apophyseal Ring Fracture
We report a pediatric baseball player having both a fracture of the posterior ring apophysis and spondylolysis. He was presented to a primary care physician complaining of back pain and leg pain. Despite conservative treatment for 3 months, the pain did not subside. He was referred to our clinic, and surgical intervention was carried out. First, a bony fragment of the caudal L5 apophyseal ring ...
متن کاملUse Of Manual Therapy And Sport Specific Re-training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report
25 Background and Purpose: Bilateral pedicle stress fractures are extremely rare, with few 26 cases reported in the literature. The pedicle is known to be the second weakest point of 27 the vertebra, has a short moment arm from the vertebral body, and can resist a large 28 amount of cyclic shear forces. There have been several reports describing pedicle stress 29 fracture in adolescent athletes...
متن کاملBilateral pedicle stress fractures in a female athlete: case report and review of the literature.
STUDY DESIGN Clinical case report of bilateral stress fractures of the pedicle in a female athlete presenting with back pain. OBJECTIVES To report this unusual case and surgical treatment and to review the relevant literature. SUMMARY OF BACKGROUND DATA Low back pain is a frequent complaint in athletes, with the majority of cases being related to muscular or soft tissue etiology. Spondyloly...
متن کاملMinimal access direct spondylolysis repair using a pedicle screw-rod system: a case series
UNLABELLED INTRODUCTION Symptomatic spondylolysis is always challenging to treat because the pars defect causing the instability needs to be stabilized while segmental fusion needs to be avoided. Direct repair of the pars defect is ideal in cases of spondylolysis in which posterior decompression is not necessary. We report clinical results using segmental pedicle-screw-rod fixation with bone...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 73 6 شماره
صفحات -
تاریخ انتشار 1991