{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:10:05Z","timestamp":1752232205001,"version":"3.41.2"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Osteoporotic pedicle fractures are rare and may lead to spinal canal stenosis and instability (i.e., spondylolisthesis\/lysis). Here, we explored the advantage of early intervention for osteoporotic vertebral fractures (OVFs) accompanied by bilateral pedicle fractures.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>An 81-year-old osteoporotic female presented with low-back pain without any history of trauma or prior spinal surgery. Computed tomography revealed an OVF at L3, accompanied by bilateral pedicle fractures. Conservative treatment failed, and she successfully underwent early balloon kyphoplasty at L3, plus stand-alone percutaneous pedicle screw fixation. Postoperatively, symptoms were relieved, and she was discharged without complications on postoperative day 10.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This case highlights the efficacy of early, minimally invasive treatment for OVF, and bilateral pedicle fractures.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_534_2025","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:34:19Z","timestamp":1752230059000},"page":"283","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early minimally invasive treatment of osteoporotic pedicle fractures"],"prefix":"10.25259","volume":"16","author":[{"given":"Kenji","family":"Uda","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Nagoya Ekisaikai Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Awaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya Ekisaikai Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya Ekisaikai Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya Ekisaikai Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osamu","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya Ekisaikai Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshitaka","family":"Nagashima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"10.25259\/SNI_534_2025\/ref-1","doi-asserted-by":"crossref","first-page":"108757","DOI":"10.1016\/j.clineuro.2025.108757","article-title":"The stent-screw assisted internal fixation (SAIF) technique: A treatment option for OF5, the three-column unstable osteoporotic vertebral fractures-a case series","volume":"249","author":"Commodaro","year":"2025","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_534_2025\/ref-2","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1007\/s00586-008-0816-5","article-title":"Bilateral pedicle stress fracture in a patient with osteoporotic compression fracture","volume":"18","author":"Doita","year":"2009","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_534_2025\/ref-3","first-page":"e7273","article-title":"Bilateral acute osteoporotic lumbar pedicle fracture presenting with associated neurological deficit: A case report and review of literature","volume":"12","author":"Ebot","year":"2020","journal-title":"Cureus"},{"key":"10.25259\/SNI_534_2025\/ref-4","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s11657-024-01462-8","article-title":"Bilateral lumbar pedicle fracture in a patient receiving long-term bisphosphonate therapy: A case report with pathological evaluation","volume":"19","author":"Fujita","year":"2024","journal-title":"Arch Osteoporos"},{"key":"10.25259\/SNI_534_2025\/ref-5","first-page":"340","article-title":"Multi-level, bilateral pedicle fractures: Case report","volume":"25","author":"Karabay","year":"2015","journal-title":"Turk Neurosurg"},{"key":"10.25259\/SNI_534_2025\/ref-6","doi-asserted-by":"crossref","first-page":"555","DOI":"10.22603\/ssrr.2023-0005","article-title":"Bilateral lumbar pedicle fracture in a patient receiving long-term bisphosphonate therapy: A case report","volume":"7","author":"Karasawa","year":"2023","journal-title":"Spine Surg Relat Res"},{"key":"10.25259\/SNI_534_2025\/ref-7","doi-asserted-by":"crossref","first-page":"35","DOI":"10.2176\/nmccrj.cr.2018-0185","article-title":"Incidental idiopathic bilateral pedicle fracture-case report and literature review","volume":"6","author":"Kim","year":"2019","journal-title":"NMC Case Rep J"},{"key":"10.25259\/SNI_534_2025\/ref-8","doi-asserted-by":"crossref","first-page":"291","DOI":"10.3389\/fbioe.2019.00291","article-title":"Stent-screw assisted internal fixation of osteoporotic vertebrae: A comparative finite element analysis on SAIF technique","volume":"7","author":"La Barbera","year":"2019","journal-title":"Front Bioeng Biotechnol"},{"key":"10.25259\/SNI_534_2025\/ref-9","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1017\/cjn.2018.329","article-title":"Spontaneous atraumatic bilateral pedicle insufficiency fractures","volume":"45","author":"Surur","year":"2018","journal-title":"Can J Neurol Sci"}],"container-title":["Surgical Neurology 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