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  Traumatic lumbar pedicle fracture associated with pre-existing bilateral spondylolysis and anterolisthesis in a professional soccer player
 
 
Titel: Traumatic lumbar pedicle fracture associated with pre-existing bilateral spondylolysis and anterolisthesis in a professional soccer player
Auteur: van der Heijden, Chantal
Claerbout, Maria
Peers, Koen
Lauweryns, Philippe
Verschenen in: Journal of back and musculoskeletal rehabilitation
Paginering: Jaargang 20 (2007) nr. 2-3 pagina's 131-134
Jaar: 2007-12-12
Inhoud: A traumatic pedicle fracture in association with pre-existing bilateral spondylolysis and anterolisthesis has never been described. A 27-year-old male professional football player presented with acute gluteal pain caused by a traumatic fracture of the left pedicle L5 missed on plain radiographs, but seen on CT-scan and confirmed on bone scintigraphy. Instability caused by this fracture in association with pre-existing bilateral spondylolysis and grade I-anterolisthesis required immobilization of the lumbar spine. Since no neurological deficit was observed, it was decided not to operate but to treat the patient with analgesics and with a lumbar orthosis which would provide unilateral hip fixation in extension during walking. We report here on the difficulties of diagnosis and on the successful treatment by means of immobilization in a lumbar orthosis. A rehabilitation program with specific sports-related exercises was devised.
Uitgever: IOS Press
Bronbestand: Elektronische Wetenschappelijke Tijdschriften
 
 

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