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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

5.8K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: May 1, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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Traumatic Unilateral Pedicle Fracture Treated With a Partially Threaded Screw: A Case Report.

Eli W Bunzel1, Emily R Hunt2, Haitao Zhou2

  • 1Department of Orthopedic Surgery, New York University Langone Health, New York, NY, USA Eli.Bunzel@nyulangone.org.

International Journal of Spine Surgery
|February 26, 2026
PubMed
Summary

Fixing a unilateral L5 pedicle fracture with a partially threaded screw is a safe and effective minimally invasive treatment. This surgical option offers excellent outcomes for patients with spinal trauma, allowing a return to normal activities.

Keywords:
Pedicle Fractureslumbarminimally invasive surgeryspine traumatechniquesthoracolumbar fracturestrauma

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Area of Science:

  • Orthopedic Surgery
  • Spinal Trauma Management
  • Neurosurgery

Background:

  • Spinal fractures, particularly at the L5 level, can result from significant trauma.
  • Management of unilateral pedicle fractures requires careful consideration for optimal patient outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of using a partially threaded screw for unilateral L5 pedicle fracture fixation.
  • To assess the functional recovery and pain levels in patients treated with this minimally invasive technique.

Main Methods:

  • A case study of a previously healthy 46-year-old male with polytraumatic injuries including a unilateral right L5 pedicle fracture.
  • Surgical fixation of the L5 pedicle fracture using a 6.5 mm partially threaded screw.
  • Postoperative follow-up at 12 months to assess pain, work status, and activity resumption.

Main Results:

  • The patient tolerated the surgical procedure well.
  • At 12 months postoperatively, the patient reported no back pain.
  • The patient successfully returned to work and resumed all previous activities.

Conclusions:

  • Fixation of a unilateral pedicle fracture with a partially threaded screw is a safe and effective treatment.
  • This minimally invasive approach is a viable option for indicated cases of L5 pedicle fractures.
  • Early and complete functional recovery is achievable with this surgical method.