Isolated unilateral vertebral pedicle fracture caused by a back massage in an elderly patient: a case report and literature review
European Journal of Orthopaedic Surgery & Traumatology, 07/03/2012
Guo Z et al. – Imaging findings demonstrated an isolated unilateral L5 vertebral pedicle fracture with intact vertebral bodies, spinal canal stenosis at the L4–5 levels, bulging annulus fibrosus at the L4–S1 levels, bilateral spondylolysis and an L5/S1 spondylolisthesis. The patient underwent L4–S1 decompressive laminectomy, L5/S1 discectomy and neurolysis, and reduction and fixation of the L5 vertebral pedicle fracture and L5/S1 spondylolisthesis using the pedicle nail system. At follow–ups, the patient showed good recovery without pain or numbness in the low back and bilateral lower extremities.