Abstract:
STUDY DESIGN:A case report of stress fracture of bilateral lumbar posterior facet after implantation of interspinous process device is reported and the literature reviewed. OBJECTIVE.: To report the rare case of stress fracture of bilateral lumbar posterior facet after implantation of interspinous process device. SUMMARY OF BACKGROUND DATA:A 64-year-old woman presented with severe back pain and radiating pain in both legs. In her history, she had undergone implantation of L4-L5 interspinous process device (Coflex, Paradigm Spine, Wurmlingen, Germany) for her neurogenic claudication at 6 years ago. Magnetic resonance image demonstrated signal change suggesting bilateral L4 inferior process. To the best of the authors' knowledge, there has been no report stress fracture of posterior facet after implantation of interspinous process device. METHODS:This study reviewed the patient's medical record, her imaging studies, and related literatures. RESULTS:In the reported case, stress fracture of bilateral posterior facet was documented with MRI and confirmed with surgical treatment for the surgical treatment of spinal stenosis. The involved facet joint was at the site affected by previously implanted interspinous process device. CONCLUSION:Posterior facet fracture can occur as a complication of interspinous process device.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Chung KJ,Hwang YS,Koh SHdoi
10.1097/BRS.0b013e31819fd3a0subject
Has Abstractpub_date
2009-05-01 00:00:00pages
E380-3issue
10eissn
0362-2436issn
1528-1159pii
00007632-200905010-00028journal_volume
34pub_type
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