# Vertebral Fracture Associated With Extracorporeal Shock Wave Lithotripsy: A Case Report

## TL;DR

A rare case of a vertebral fracture caused by kidney stone treatment with shock waves is reported in a young, healthy patient.

## Contribution

A novel case of transverse process fracture due to ESWL in a young patient without underlying medical conditions.

## Key findings

- A transverse process fracture of the third lumbar vertebra occurred after ESWL treatment.
- The patient had no prior medical conditions or risk factors for vertebral fractures.
- This case highlights the potential skeletal complications of ESWL, even in healthy individuals.

## Abstract

Extracorporeal shock wave lithotripsy (ESWL) is considered a safe, reliable, and non-invasive modality for kidney stone management. However, there are well-established complications related to ESWL documented in the literature in the form of renal and extrarenal complications. Skeletal complications related to ESWL are rarely recorded; as far as we know, there is only one documented case report of an ESWL-related burst vertebral fracture seen in an osteoporotic patient, diagnosed as granulomatous spondylitis. Here, we present a novel case of a transverse process fracture of the third lumbar vertebra related to ESWL in a young patient otherwise free from any medical illness.