J Bone Metab.  2013 May;20(1):47-50. 10.11005/jbm.2013.20.1.47.

Osteoporotic Lumbar Compression Fracture in Patient with Ankylosing Spondylitis Treated with Kyphoplasty

• Kim GD
• Chae SU
• Kim YJ
• Choi DH

• KMID: 2286313
• DOI: http://doi.org/10.11005/jbm.2013.20.1.47

Abstract

Ankylosing spondylitis (AS) is an inflammatory disease primarily affecting the spine. Osteoporosis can be a complication of AS and associated with low bone mineral density. As well, spinal fractures in the AS are usually unstable and may cause neurologic deficit at the mainly cervical region with low energy trauma. However, reports of lumbar compression fracture in AS are very rare. Thus, we report a 73-year-old male patient with osteoporotic L3 compression fracture with AS treated with kyphoplasty which has no symptom improvement with conservative treatment. Kyphoplasty is a useful procedure option in the treatment of the lumbar compression fracture in AS.

Keyword

Ankylosing spondylitis; Kyphoplasty; Osteoporotic fractures

MeSH Terms

Bone Density
Fractures, Compression
Humans
Kyphoplasty
Male
Neurologic Manifestations
Osteoporosis
Osteoporotic Fractures
Spinal Fractures
Spine
Spondylitis, Ankylosing

Figure

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  Fig. 1 Bone mineral density of the lumbar spine by peripheral-quantitative computed tomography (P-QCT).

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  Fig. 2 Preoperative simple anteroposterior (A) and lateral (B) L-spine radiography show syndesmophytes of the spine, but spine fracture was not clearly depicted in lumbar spine.

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  Fig. 3 Coronal image (A) and saggital image (B) of lumbar spine 3-dimensional computed tomography scan and T1-weighted saggital image (C) of lumbosacral magnetic resonance imaging shows ankylosed of ligaments, intervertebral discs, endplate, and of apophyseal structures and 2 column compression fracture on L3 through the vertebral body (arrow).

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  Fig. 4 At the 9 months after fluoscopy-guided kyphoplasty, anteroposterior (A) and lateral (B) lumbar radiographs show the appearance of cement in the L3 and no leakage of cement.

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