J Korean Neurosurg Soc.  2009 Dec;46(6):584-587. 10.3340/jkns.2009.46.6.584.

Contralateral Pedicular Fracture with Unilateral Spondylolysis

Affiliations
  • 1Department of Neurosurgery, Miraero 21 Medical Center, Gwangju, Korea. in-hojeong@daum.net
  • 2Department of Radiology, Miraero 21 Medical Center, Gwangju, Korea.

Abstract

Although most authors regard contralateral pedicular fracture with unilateral spondylolysis as an unstable condition and recommend surgical management when immobilization fails in promoting bony healing of the fracture, few researchers have investigated the natural history of pedicle fracture or the causal relationship between symptoms and the fracture. In addition, there are no detailed guidelines that address the management of this disease. We report a rare case of contralateral pedicular fracture associated with unilateral spondylolysis at the L5 level which was successfully treated by rehabilitation with activity modification.

Keyword

Lower back pain; Lumbar vertebrae; Spondylolysis; Stress fracture; Guidelines

MeSH Terms

Fractures, Stress
Immobilization
Low Back Pain
Lumbar Vertebrae
Natural History
Spondylolysis
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