Adjacent Bi-level bilateral pedicle stress fractures after instrumented posterolateral lumbar fusion—a case report and review of the literature

  • João Pedro JorgeEmail author
  • Nelson Carvalho
Up-to date Review and Case Report • SPINE - LUMBAR


Isolated bilateral pedicle stress fractures of the lumbar spine are rare events, and few cases are reported in the literature. Their occurrence is commonly related to post-operative complications of spine instrumentation but can also be associated with stress-related activities, degenerative spine conditions, trauma and other miscellaneous causes. The authors report a case of adjacent bi-level bilateral pedicle fracture that developed 5 years after an instrumented posterolateral lumbar fusion. We believe that this has never been described before, and we reviewed the current literature pertaining this subject.


Pedicle fracture Stress fracture Low back pain Neural arch Spinal fusion 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Centro Hospitalar Universitário de Lisboa Central – Hospital de Curry CabralLisbonPortugal

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