Unilateral Pedicle Stress Fracture in a Long-Term Hemodialysis Patient with Isthmic SpondylolisthesisReport as inadecuate




Unilateral Pedicle Stress Fracture in a Long-Term Hemodialysis Patient with Isthmic Spondylolisthesis - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Orthopedics - Volume 2015 2015, Article ID 426940, 4 pages -

Case ReportDepartment of Orthopaedic Surgery, Hyogo College of Medicine, Mukogawa-cho 1-1, Nishinomiya, Hyogo 663-8501, Japan

Received 28 December 2014; Accepted 30 January 2015

Academic Editor: Christian W. Muller

Copyright © 2015 Keishi Maruo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 who had undergone hemodialysis presented with lower back pain that had persisted for several years. The patient experienced severe right lower extremity pain with no history of trauma. Computed tomography revealed unilateral pedicle fracture with bilateral L5 spondylolysis and spondylolisthesis with progression of scoliosis. The patient underwent Gill laminectomy of L5 with pedicle screw fixation at L4-S1 and interbody fusion at L5-S1. The patient’s leg pain ceased immediately, and he began walking without leg pain. In our present patient, development of scoliosis caused by destructive spondyloarthropathy may have contributed to a unilateral pedicle fracture.





Author: Keishi Maruo, Toshiya Tachibana, Shinichi Inoue, Fumihiro Arizumi, and Shinichi Yoshiya

Source: https://www.hindawi.com/



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