Abstract

We report a patient with spontaneous pedicle fracture associated with contralateral spondylolysis and spondylolisthesis at the L5 level, complaining severe back pain, radicular lower limb pain and intermittent claudication. The pathophysiological mechanism is discussed, and a review of relevant literature is included. This patient was successfully treated by decompression laminectomy with Transforaminal Lumbar Interbody Fusion (TLIF) and pedicle screw fixation. To our knowledge, cases like this have rarely been reported in the literature.