title: Spondylolisthesis on bilateral pedicle stress fracture in the lumbar spine: a case study.
abstract: We report the clinical case of a 54-year-old woman presenting radicular low back pain on the right side of L4 associated to spondylolisthesis on L4-L5, without any notion of trauma or spine surgery. Furthermore this patient is regularly seen for benign rheumatoid polyarthritis complicated by steroid-induced osteoporosis. A preventive treatment was implanted with good results on pain improvement and functional capacities. For pedicle fractures the literature review reports several different etiologies: spontaneous fractures, hereditary fractures or stress-related fractures. There was a discussion on the various treatments available and in this case of spondylolisthesis on pedicle fracture a conservative treatment was implemented similar to the one for isthmic spondylolisthesis. It yielded satisfying results.
authors.affiliation: Service de médecine physique et de réadaptation, hôpital El Ayachi, centre hospitalier universitaire Ibn Sina, université Mohamed V souissi, rue de la plage, 10000 Rabat-Salé, Maroc. hajjiouiabdo@yahoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Hajjioui
authors.forename: H
authors.initials: H
authors.lastname: Khazzani
authors.forename: S
authors.initials: S
authors.lastname: Sbihi
authors.forename: R
authors.initials: R
authors.lastname: Bahiri
authors.forename: B
authors.initials: B
authors.lastname: Benchekroune
authors.forename: N
authors.initials: N
authors.lastname: Hajjaj-Hassouni
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D005081:Exercise Therapy; D005260:Female; D015775:Fractures, Stress / Q000150:complications*; D006801:Humans; D017116:Low Back Pain / Q000209:etiology* / Q000628:therapy; D008159:Lumbar Vertebrae / Q000293:injuries*; D008875:Middle Aged; D016103:Spinal Fractures / Q000150:complications*; D013168:Spondylolisthesis / Q000150:complications*
chemical_list: D000700:Analgesics