Unexpected bilateral pedicle stress fractures of the lumbar spine

Four levels pedicle fractures in a renal failure patient: A case report and literature review

“…[4] Case report Unilateral L4 Contralateral spondylosis Guillodo et al [5] Case report Unilateral L5 Contralateral spondylosis Vialle et al [6] Case report Unilateral L5 Contralateral spondylosis Weatherley et al [7] Case report, review Unilateral L4 Contralateral spondylosis Carr et al [8] Case report, review Unilateral L2-3 Spondylolisthesis, scoliosis Kim et al [9] Case report Unilateral L5 Spondylolytic spondylolisthesis Guo et al [10] Case report Unilateral L5 Back massage, spondylolytic spondylolisthesis Ha and Kim [11] Case report Bilateral L4 Revision spinal surgery Knight and Chan [12] Case report Not mentioned L3 Scoliosis, posterior spinal fusion Macdessi et al [13] Case report Bilateral L4 Revision spinal surgery Robertson and Grobler [14] Case report Bilateral L3 Revision spinal surgery Sheehan et al [15] Case report Unilateral L4 Previous spinal surgery Stanley and Smith. [16] Case report Unilateral L4 Previous spinal surgery Tribus and Bradford [17] Case report Bilateral L4 Scoliosis, posterior spinal fusion Jorge and Carvalho [18] Case report Bilateral L2-3 Previous spinal surgery Kim et al [19] Case report Bilateral L4 Osteoporosis, previous spinal surgery Parvataneni et al [20] Case report Bilateral L5 Athlete Tahir and Islam [21] Case report Bilateral L4 Amateur weightlifting Mohapatra et al [23] Case report Bilateral L4 Osteopetrosis, spondylolysis Doita et al [24] Case report Bilateral L4 Osteoporotic compression fracture of L5 Kim et al [25] Case report Bilateral L4 Osteoporosis, L4-5 spinal stenosis Maruo et al [29] Case report Unilateral L5 Long-term hemodialysis, spondylolisthesis, degenerative scoliosis, destructive spondyloarthropathy neurogenic claudication and muscle weakness of the right lower limb, evidence of degenerative lumber scoliosis and Grade I isthmic spondylolisthesis at L5-S1, with later progression to destructive spondyloarthropathy and progression of the lumbar curve and slippage with resultant unilateral pedicle fracture at the concavity of L4-5. erefore, the patient underwent gill laminectomy of the L5 with pedicle screw fixation at L4-S1 and interbody fusion using the posterior lumbar interbody fusion technique.…”

“…[1,2] It is rare to have an atraumatic lumbar pedicle fracture, but it is possible in predisposed patients, as mentioned in many reports. Some reported cases with pedicle fractures were predisposed by contralateral spondylolysis or degenerative spondylolisthesis [3][4][5][6][7][8][9][10] by the previous spine surgical intervention [11][12][13][14][15][16][17][18][19] by stressful physical activities [5,20,21] or predisposed by metabolic bone diseases. [19,[22][23][24][25] However, two reported cases of one-level pedicle fracture without significant trauma, previous surgical intervention, or a bony abnormality exist.…”