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Journal of Korean Neurosurgical Society 2009;46(6): 584-587.
doi: https://doi.org/10.3340/jkns.2009.46.6.584
Contralateral Pedicular Fracture with Unilateral Spondylolysis.
In Ho Jeong, Eai Hong Hwang, Weon Tae Bae
1Department of Neurosurgery, Miraero 21 Medical Center, Gwangju, Korea. in-hojeong@daum.net
2Department of Radiology, Miraero 21 Medical Center, Gwangju, Korea.
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.
Key Words: Lower back pain; Lumbar vertebrae; Spondylolysis; Stress fracture; Guidelines
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