title: Case report: vertebral compression fracture in a fused and instrumented lumbar segment.
abstract: Although vertebral fractures in fused spinal segments have been reported, we are not aware of any descriptions of vertebral body compression fractures in solidly fused and instrumented segments. We report a patient who sustained a vertebral-body compression fracture of the L1 vertebra in an instrumented and fused spinal segment from T10 to L5. The fracture occurred during self-insertion of a rectal suppository. No intervention was required to treat the fracture, and there was no long-term clinical effect.
authors.affiliation: Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR 97239, USA. hartro@ohsu.edu
authors.forename: Robert A
authors.initials: RA
authors.lastname: Hart
authors.forename: Jayme
authors.initials: J
authors.lastname: Hiratzka
authors.forename: Atul
authors.initials: A
authors.lastname: Deodhar
mesh_terms: D000368:Aged; D005260:Female; D050815:Fractures, Compression / Q000473:pathology*; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects* / Q000295:instrumentation; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000601:surgery; D016103:Spinal Fractures / Q000473:pathology*; D013123:Spinal Fusion / Q000009:adverse effects* / Q000295:instrumentation; D013904:Thoracic Vertebrae / Q000601:surgery