ArticleSN comprehensive clinical medicine2022
Lumbar Pedicular Stress Fracture Post-laminectomy: a Case Report.
Article in SN comprehensive clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Isolated Atypical Pedicle Stress Fractures in Patients on Prolonged Bisphosphonate Therapy: Report of Two Cases and a Literature-Based Proposal for Diagnostic Criteria.Journal of clinical medicine · 2025Article
- Prevalence and Risk Factors for Postoperative Neurological Complications in Spinal Deformity Surgery: A Systematic Review and Proportional Meta-Analysis.Neurospine · 2025Article
- Minimally invasive treatment of pedicle stress fracture in a young athlete: A case report.International journal of surgery case reports · 2023Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We present the case of a 74-year-old male suffering from degenerative lumbar spinal stenosis with neurogenic claudication resulting in reduced walking distance. MR imaging indicated spinal canal stenosis at the level of L3-L4 and L4-L5 due to degenerative discopathy, discal extrusion, and facet arthrosis. After conservative treatment had failed, a multilevel laminectomy was performed. Four months postoperatively, the patient developed a stress fracture of the L4 pedicle. Pedicular stress fractures are uncommon and few case reports are found in the literature. Usually, they occur due to contralateral spondylolysis or congenital anomalies. The findings in this case however suggest a change of biomechanical load over the pedicle due to spinal surgery. An overview of the literature concerning spinal instability after laminectomy is provided. Spinal decompressive surgery can significantly change the biomechanical forces on the spinal structures, resulting in important postoperative complications. Whether pedicle stress fracture in this case is a result of pre- or postoperative circumstances remains a subject for discussion.
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Registered trials
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