Korean J Pain.  2011 Dec;24(4):235-238. 10.3344/kjp.2011.24.4.235.

Spontaneous Height Restoration of Vertebral Compression Fracture: A Case Report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
  • 2Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. hiitsme@snubh.org

Abstract

Vertebral compression fractures result in vertebral height loss and alter sagittal spinal alignment, which in turn can lead to increased morbidity and mortality. Acute osteoporotic vertebral compression fractures are known to increase mobility and instability of the spine. There are limited published data correlating the degree of dynamic mobility and the efficacy of kyphoplasty on vertebral compression fractures. Here we report a 73-year-old female with a severe acute osteoporotic L2 compression fracture who obtained total vertebral height restoration following kyphoplasty, with resolution of back pain.

Keyword

compression fracture; dynamic mobility; kyphoplasty; osteoporosis; spine

MeSH Terms

Aged
Back Pain
Female
Fractures, Compression
Humans
Kyphoplasty
Osteoporosis
Spine

Figure

  • Fig. 1 T1 weighted image of lumbar MRI. There is no height loss except bone marrow edema in 2nd lumbar vertebra.

  • Fig. 2 Preoperative standing anterior-posterior radiographic study showing the anterior height of L2 vertebral was 56.7% compared to that of L3.

  • Fig. 3 Prone cross-table lateral fluoroscopy was performed and we found the height restoration of L2 vertebral body.

  • Fig. 4 After bone cement injection. Anterior-posterior view (A), and lateral view (B).


Reference

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