Minimally invasive treatment of pedicle stress fracture in a young athlete: A case report

• DOI: 10.1016/j.ijscr.2023.109038
• Publication Date: 2023-11-14T21:26:51Z
• Authors: Riccardo Ghermandi; Luigi Falzetti; Dario Haddad; Valerio Pipola; Alessandro Gasbar...
• Keywords: Stress Fractures

Pedicle stress fractures are an uncommon type of non-union often associated with contralateral neural arch interruption in young, active patients. Patients present long-lasting low back pain, and the diagnosis is usually delayed. Treatment generally conservative. Few cases treated surgically described literature, a high degree treatment heterogeneity no consensus on optimal treatment. A 24-year-old male, following sports-related trauma, developed persistent lower pain. Imaging revealed right L3 pedicle fracture left lamina pars interarticularis interruption. minimally invasive percutaneous approach targeting was chosen. The procedure aimed to alleviate pain promote healing, without addressing defect. patient quickly recovered, achieving significant relief, starting tailored physical therapy program. At 4-month follow-up, healed callus formation. returned sports practice. may result from biomechanical force redistribution. Diagnosis challenging, necessitating advanced imaging, including bone scintigraphy, MRI, CT scans. Conservative management rest, restriction brace, focused rehabilitation achieves good results. When conservative fails, surgery should be considered. Surgical options include direct repair, grafting, screw fixation Minimally can achieve clinical functional results while avoiding blood loss soft tissue trauma. Treating only sufficient contrast more complex procedures.