J Bone Metab.  2013 Nov;20(2):115-118. 10.11005/jbm.2013.20.2.115.

Compression Fracture in Postpartum Osteoporosis

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. hhl22@schmc.ac.kr
  • 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.

Abstract

Osteoporosis is mainly a problem in postmenopausal women. However, we had a case of postpartum compression fracture associated with osteoporosis. A 42-year-old multiparous woman had undergone tertiary cesarean section without complications 1 month before. She was breast-feeding her baby and had no other bone-related complication history. She did not exercise on a regular basis. She experienced back pain abruptly and was diagnosed with a recent compression fracture of T12, L1, and L3. We evaluated this rare case of postpartum osteoporosis and compression fracture.

Keyword

Compression; Fractures; Osteoporosis; Postpartum period

MeSH Terms

Adult
Back Pain
Cesarean Section
Female
Fractures, Compression*
History
Humans
Osteoporosis*
Postpartum Period*
Pregnancy

Figure

  • Fig. 1 A bone scan revealed increased bone uptake, perfusion, and multiple recent compression fractures of T12-S1.

  • Fig. 2 Bone marrow density determined using dual energy X-ray absorptiometry (DXA) revealed that T-scores for lumbar vertebrae L1-L4, femoral neck, and femoral total were significantly low in the patient.


Cited by  2 articles

Compression Fracture in Postpartum Osteoporosis
Judith L. Gutowski
J Bone Metab. 2014;21(2):161-161.    doi: 10.11005/jbm.2014.21.2.161.

Pregnancy-related osteoporosis and spinal fractures
Ka Yeong Yun, Si Eun Han, Seung Chul Kim, Jong Kil Joo, Kyu Sup Lee
Obstet Gynecol Sci. 2017;60(1):133-137.    doi: 10.5468/ogs.2017.60.1.133.


Reference

1. Sang JH, Hwang IC, Han HS, et al. Prevalence of osteoporosis and osteopenia in women in gumi gyeongbuk province. J Korean Soc Menopause. 2012; 18:28–35.
Article
2. The International Society for Clinical Densitometry (ISCD). Official Positions. 2007. cited by 2012 Sep 1. Available from: http://www.iscd.org/wp-content/uploads/2012/10/ISCD2007OfficialPositions-Adult.pdf.
3. Kim TH, Lee HH, Chung SH, et al. Routine application of the Korean FRAX model in women: a single-center study. Korean J Bone Metab. 2012; 19:29–34.
Article
4. Chung SH, Kim TH, Lee HH. Relationship between vitamin D level and bone mineral density in postmenopausal women from Bucheon area. J Korean Soc Osteoporos. 2009; 7:198–202.
5. Moon HJ, Kim TH, Byun DW, et al. Positive correlation between erythrocyte levels of n-3 polyunsaturated fatty acids and bone mass in postmenopausal Korean women with osteoporosis. Ann Nutr Metab. 2012; 60:146–153.
Article
6. Kim TH, Lee HH, Chung SH, et al. Relationship between history of pregnancies and bone mineral density. Osteoporosis. 2011; 9:89–92.
Article
7. Sioka C, Bougias C, Papadopoulos A, et al. Is osteoporosis in postmenopausal female patients related to previous pregnancies and/or miscarriages? Climacteric. 2007; 10:381–385.
Article
8. Clemetson IA, Popp A, Lippuner K, et al. Postpartum osteoporosis associated with proximal tibial stress fracture. Skeletal Radiol. 2004; 33:96–98.
Article
9. Holmberg-Marttila D, Sievänen H, Tuimala R. Changes in bone mineral density during pregnancy and postpartum: prospective data on five women. Osteoporos Int. 1999; 10:41–46.
Article
10. Ofluoglu O, Ofluoglu D. A case report: pregnancy-induced severe osteoporosis with eight vertebral fractures. Rheumatol Int. 2008; 29:197–201.
Article
11. O'Sullivan SM, Grey AB, Singh R, et al. Bisphosphonates in pregnancy and lactation-associated osteoporosis. Osteoporos Int. 2006; 17:1008–1012.
12. Ghannam NN, Hammami MM, Bakheet SM, et al. Bone mineral density of the spine and femur in healthy Saudi females: relation to vitamin D status, pregnancy, and lactation. Calcif Tissue Int. 1999; 65:23–28.
Article
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