Brian T. Swanson
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Bilateral pedicle stress fractures are extremely rare, with few cases reported in the literature. The pedicle is known to be the second weakest point of the vertebra, has a short moment arm from the vertebral body, and can resist a large amount of cyclic shear forces. The main causes of lumbar pedicle stress fractures are shear stress and twisting stressors, followed by sudden hyperflexion or hyperextension of the spine. There have been several reports describing pedicle stress fracture in adolescent athletes. However, in those reports the fracture was usually associated with contralateral spondylolysis, and isolated pedicle fractures are rarely found. The purpose of this case report is to detail a conservative approach using manual therapy, Pilates exercises, and sport specific re-training in an adolescent sprinter with bilateral L4 pedicle stress fractures.
The case report paper for this poster can be found here:
Lopez, Erika, "Use Of Manual Therapy And Sport Specific Re-training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report" (2015). Case Report Posters. Poster 43.