Sadiq M Z
Milton Keynes General Hospital, Milton Keynes, MK6 5LD, UK.
Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):653-5. doi: 10.1007/s00586-006-0184-y. Epub 2006 Aug 2.
A case of bilateral pedicle fracture in the lumbar spine of a sedentary office worker is being presented. No such case has been reported in the literature previously. Bilateral pedicle fracture is a rare entity. Few cases have been reported in literature. All the reported cases had some underlying causative factors like degenerative spine disease, previous spinal surgery or stress-related activities, e.g. athletes. Our case is a 36-year-old sedentary office worker with none of the factors mentioned. We present a case of a 36-year-old sedentary worker with long-standing low backache. There were no root tension signs. Plain radiographs were inconclusive. The patient had a CT scan. The CT scan revealed long-standing defects in the pedicles of L2 vertebra with pseudoarthrosis. Infiltration with anaesthetic relieved the symptoms. Our patient was managed conservatively with spine rehabilitation physiotherapy program. Pedicle fracture can develop due to abnormal stresses in the pedicle either because of previous spinal surgery or spondylitic changes in the spine. Bilateral pedicle fracture in the absence of these conditions is extremely rare.
本文报告一例久坐办公室职员腰椎双侧椎弓根骨折的病例。此前文献中未见此类病例报道。双侧椎弓根骨折是一种罕见的病症。文献中报道的病例较少。所有报道的病例都有一些潜在的致病因素，如脊柱退行性疾病、既往脊柱手术或与压力相关的活动，如运动员。我们的病例是一名36岁的久坐办公室职员，不存在上述任何因素。我们报告一例36岁长期患有腰痛的久坐职员病例。无神经根牵拉体征。X线平片结果不明确。患者进行了CT扫描。CT扫描显示L2椎体椎弓根存在长期缺损并伴有假关节形成。麻醉剂注射缓解了症状。我们的患者通过脊柱康复理疗方案进行保守治疗。椎弓根骨折可能由于既往脊柱手术或脊柱的脊柱炎改变导致椎弓根异常应力而发生。在没有这些情况时双侧椎弓根骨折极为罕见。
