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Spine: Pedicle stress/insufficiency fractures

Clinical: 70 y/o female with acute on chronic back pain.
Dx: Acute pedicle stress/insufficiency fractures at the L4 and L5 levels without spondylolisthesis.  These are likely insufficiency fxs given age.

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References:

  1.     Parvataneni H, Nicholas S, McCance S.  SPINE: 2004 – vol. 29, no. 2, pp. E19-E21.