Isolated unilateral vertebral pedicle fracture caused by a back massage in an elderly patient: A case report and literature review

被引：8

作者：

Guo Z. ^{[1
]}

Chen W. ^{[1
]}

Su Y. ^{[1
]}

Yuan J. ^{[2
]}

Zhang Y. ^{[1
]}

机构：

[1] Department of Orthopaedic Surgery, Third Hospital, Hebei Medical University, Shijiazhuang 050051, Hebei

[2] Deparment of Neurology, Third Hospital, Hebei Medical University, Shijiazhuang 050017, Hebei

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2013年 / 23卷 / Suppl 2期

关键词：

Lumbar vertebrae; Osteoporosis; Spondylolisthesis; Vertebral pedicle fracture;

D O I：

10.1007/s00590-012-1031-y

中图分类号：

学科分类号：

摘要：

The vertebral pedicle injuries are clinically common. However, the isolated vertebral pedicle fracture with intact vertebral bodies is a rare lesion. We reported a case of a 66-year-old man who experienced a pedicle fracture after a back massage. The patient sustained osteoporosis, long-existing low back pain and nerve compression symptoms without antecedent major trauma. 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. This study raises the awareness of a complication of alternative medicine and the possibility of a pedicle fracture caused by a lowenergy trauma. © Springer-Verlag 2012.

引用

页码：S149 / S153

页数：4

共 13 条

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