Korean J Spine.  2012 Mar;9(1):37-40. 10.14245/kjs.2012.9.1.37.

Continuous Multiple Vertebral Compression Fractures in Multiple Myeloma Patient

Affiliations
  • 1Department of Neurosurgery, Seoul Veterans Hospital, Seoul, Korea. euro3399@naver.com

Abstract

Multiple myeloma is a B-cell origin tumor characterized by hypercalcemia, osteolytic bony lesions, and pathologic fractures. Back pain is one of the most common presenting symptoms of multiple myeloma and about 60% of patients have vertebral involvement at the time of diagnosis7). Minimally invasive surgeries such as vertebroplasty and kyphoplasty are effective to relieve pain and improve the quality of life when a compression fracture occurs in multiple myeloma patients. We report a case of continuous multiple compression fractures associated with multiple myeloma. We should check for the possibility of pathologic vertebral fractures resulting from multiple myeloma in non-osteoporotic compression fracture patients, and especially in cases of continuous fracture occurring in relatively non-elderly patients, even though a history of trauma may be present.

Keyword

Multiple myeloma; Compression fracture; Vertebroplasty

MeSH Terms

B-Lymphocytes
Back Pain
Fractures, Compression
Fractures, Spontaneous
Humans
Hypercalcemia
Kyphoplasty
Multiple Myeloma
Quality of Life
Vertebroplasty
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