Faculty Advisor(s)

Brian T. Swanson



Download Poster (1.3 MB)


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.

Publication Date



Physical Therapy

Related Materials

The case report paper for this poster can be found here:


Use Of Manual Therapy And Sport Specific Re-training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.