Four levels pedicle fractures in a renal failure patient: A case report and literature review

Abstract

Lumbar pedicles are wider than thoracic pedicles and L5 is considered the widest, which requires high-energy trauma to fracture. It is rare to have atraumatic lumbar pedicle fractures. However, it is reported mainly in predisposed patients, like those with contralateral spondylolysis, degenerative spondylolisthesis, previous spine surgery, stressful activities, and metabolic bone disease. We are reporting a rare case of a 37-year-old renal failure male patient who is an office worker who started dialysis only 1 month before the presentation. After a fall from the bed, the patient was found to have four levels pedicle fractures. We aimed to increase the awareness that lumbar pedicle fractures can coexist in patients with renal failure and increase the suspicion index that can promote early diagnosis and effective management.