scholarly journals Simultaneous-onset infectious spondylitis with vertebral fracture mimicking an acute osteoporotic vertebral fracture erroneously treated with balloon kyphoplasty: illustrative case

2021 ◽  
Vol 2 (12) ◽  
Author(s):  
Noritaka Yonezawa ◽  
Yuji Tokuumi ◽  
Nobuhiko Komine ◽  
Takaaki Uto ◽  
Yasumitsu Toribatake ◽  
...  
Keyword(s):  
Back Pain ◽  
Vertebral Fracture ◽  
Compression Fracture ◽  
Balloon Kyphoplasty ◽  
Illustrative Case ◽  
Osteoporotic Vertebral Fracture ◽  
Paravertebral Abscess ◽  
Preoperative Magnetic Resonance ◽  
Magnetic Resonance Imaging Mri ◽  
Infectious Spondylitis

BACKGROUND Early balloon kyphoplasty (BKP) intervention for acute osteoporotic vertebral fracture (OVF) has been reported to be more effective than the conservative treatment. However, complications of early BKP intervention are still unknown. OBSERVATIONS A 71-year-old patient with OVF of L2 underwent BKP 2 weeks after symptom onset. Preoperative magnetic resonance imaging (MRI) and radiograph were compatible with new L2 OVF. Although computed tomography (CT) images revealed the atypical destruction of lower endplate of L2 as OVF, L2 BKP was planned. After BKP, his back pain improved dramatically. Two weeks after BKP, his lower back pain recurred. MRI and CT confirmed the diagnosis of infectious spondylitis with paravertebral abscess formation. With adequate antibiotic treatment and rehabilitation, he was symptom-free and completely ambulatory without signs of infection. LESSONS Signal changes on the fractured vertebral bodies during initial MRI and fractured vertebral instability on radiograph can mislead the surgeon to interpret the infection as a benign compression fracture. If the patients exhibit unusual destruction of the endplate on CT imaging, “simultaneous-onset” spondylitis with vertebral fracture should be included in the differential diagnosis. To determine the strategy for OVF, preoperative biopsy is recommended if simultaneous-onset spondylitis with vertebral fracture is suspected.

scholarly journals Presence of sarcopenia does not affect the clinical results of balloon kyphoplasty for acute osteoporotic vertebral fracture

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shoichiro Ohyama ◽  
Masatoshi Hoshino ◽  
Shinji Takahashi ◽  
Yusuke Hori ◽  
Hiroyuki Yasuda ◽  
...  
Keyword(s):  
Back Pain ◽  
Vertebral Fracture ◽  
Vertebral Deformity ◽  
Short Form ◽  
Balloon Kyphoplasty ◽  
Clinical Results ◽  
Osteoporotic Vertebral Fracture ◽  
Mineral Density ◽  
Hand Grip ◽  
Sf 36

AbstractSarcopenia has been associated with poor clinical outcomes in several diseases. Herein, the clinical results of balloon kyphoplasty (BKP) for acute osteoporotic vertebral fracture (OVF) treatment were assessed and compared between sarcopenia and non-sarcopenia patients. Sixty patients who underwent BKP for treatment of acute OVF with poor prognostic factors between April 2016 and September 2017 and were assessed for sarcopenia were enrolled. Clinical results (back pain on visual analogue scale [VAS]; short-form [SF] 36; vertebral deformity; activities of daily living levels; and incidence of adjacent vertebral fractures) were compared between the two groups at 6 months post-BKP. Data analysis revealed that back pain on VAS, SF-36 scores, and vertebral deformity improved from baseline to 6 months after BKP. Thirty-nine patients (65.0%) were diagnosed with sarcopenia and demonstrated a lower body mass index (21.2 vs. 23.3 kg/m2, p = 0.02), skeletal muscle mass index (5.32 vs. 6.55 kg/m2, p < 0.01), hand-grip strength (14.7 vs. 19.2 kg, p = 0.01), and bone mineral density of the femoral neck (0.57 vs. 0.76 g/cm2, p < 0.01) than those of patients without sarcopenia. However, no significant differences were observed in the clinical results between these groups. Therefore, BKP’s clinical results for the treatment of acute OVF are not associated with sarcopenia.

Risk factor analysis for persistent back pain of intravertebral vacuum cleft after osteoporotic vertebral fracture

2013 ◽  
Vol 24 (4) ◽  
pp. 414-419 ◽  
Author(s):  
Kaoru Suseki ◽  
Yuzuru Takahashi ◽  
Tomoaki Toyone ◽  
Masashi Kito ◽  
Masaomi Yamashita ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Back Pain ◽  
Vertebral Fracture ◽  
Risk Factor Analysis ◽  
Osteoporotic Vertebral Fracture ◽  
Persistent Back Pain

scholarly journals Spontaneous Spine Fracture in Patient with Ankylosing Spondylitis under Spinal Anesthesia: A Case Report and Review of the Literature

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1051
Author(s):  
Ul-Oh Jeung ◽  
Dae-Chang Joo ◽  
Sung-Kyu Kim ◽  
Chae-Jin Im
Keyword(s):  
Back Pain ◽  
Ankylosing Spondylitis ◽  
Vertebral Fracture ◽  
Spinal Anesthesia ◽  
Minor Trauma ◽  
Poor Bone Quality ◽  
Structural Weakness ◽  
Extension Force ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Factures in ankylosing spondylitis (AS) patients tend to occur due to the absence of motion between vertebrae, poor bone quality, and a long lever arm that generates extension force. However, most patients have a history of at least minor trauma. The aim of this report was that a vertebral fracture in a patient with AS can be caused not only by minor trauma, but also by position changes or maintenance of position for examination due to structural weakness. A 75-year-old woman with AS visited her local hospital on foot for back pain. She usually had back pain. However, she had increased back pain after falling over three weeks prior. In plain radiographs, no fracture was apparent. The doctor tried to perform magnetic resonance imaging (MRI) for further evaluation. However, several attempts of MRI failed due to continuous movement arising from pain. As a result, MRI was performed under spinal anesthesia for pain control. However, complete paraplegia developed during the MRI examination. MRI showed extension-type vertebral fracture with displacement and the patient was transferred to our hospital. We performed emergency posterior fusion, but neurological symptoms did not improve. This case suggests the need for careful positioning, sedation, or anesthesia when performing an examination or surgery in AS patients. We recommend that all patients with AS should be carefully positioned at all times during testing or surgery.

Is Bone Nonunion, Vertebral Deformity, or Spinopelvic Malalignment the Best Therapeutic Target for Amelioration of Low Back Pain After Osteoporotic Vertebral Fracture?

Spine ◽  
2020 ◽  
Vol 45 (13) ◽  
pp. E760-E767
Author(s):  
Akira Iwata ◽  
Masahiro Kanayama ◽  
Fumihiro Oha ◽  
Yukitoshi Shimamura ◽  
Tomoyuki Hashimoto ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Vertebral Fracture ◽  
Therapeutic Target ◽  
Vertebral Deformity ◽  
Osteoporotic Vertebral Fracture ◽  
Low Back ◽  
Bone Nonunion

Does balloon kyphoplasty improve the global spinal alignment in osteoporotic vertebral fracture?

2015 ◽  
Vol 39 (6) ◽  
pp. 1137-1143 ◽  
Author(s):  
Masahiro Kanayama ◽  
Fumihiro Oha ◽  
Akira Iwata ◽  
Tomoyuki Hashimoto
Keyword(s):  
Vertebral Fracture ◽  
Balloon Kyphoplasty ◽  
Osteoporotic Vertebral Fracture ◽  
Spinal Alignment

scholarly journals Underreporting characteristics of osteoporotic vertebral fracture in back pain clinic patients of a tertiary hospital in China

2020 ◽  
Vol 23 ◽  
pp. 152-158 ◽  
Author(s):  
Mei-Mei Du ◽  
Nazmi Che-Nordin ◽  
Pei-Pei Ye ◽  
Shi-Wen Qiu ◽  
Zhi-Han Yan ◽  
...  
Keyword(s):  
Back Pain ◽  
Vertebral Fracture ◽  
Tertiary Hospital ◽  
Pain Clinic ◽  
Osteoporotic Vertebral Fracture

scholarly journals Factors affecting neurological deficits and intractable back pain in patients with insufficient bone union following osteoporotic vertebral fracture

2009 ◽  
Vol 18 (9) ◽  
pp. 1279-1286 ◽  
Author(s):  
Masatoshi Hoshino ◽  
Hiroaki Nakamura ◽  
Hidetomi Terai ◽  
Tadao Tsujio ◽  
Masaharu Nabeta ◽  
...  
Keyword(s):  
Back Pain ◽  
Vertebral Fracture ◽  
Bone Union ◽  
Neurological Deficits ◽  
Osteoporotic Vertebral Fracture ◽  
Factors Affecting

scholarly journals Osteoporotic vertebral fracture misdiagnosed as “normal postoperative phenomenon” in post decompression surgery: a case report

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Li-sheng Hou ◽  
Dong Zhang ◽  
Feng Ge ◽  
Hai-feng Li ◽  
Tian-jun Gao
Keyword(s):  
Back Pain ◽  
Vertebral Fracture ◽  
Lower Back Pain ◽  
Early Stage ◽  
Decompression Surgery ◽  
Spinal Diseases ◽  
Osteoporotic Vertebral Fracture ◽  
Early Recovery ◽  
Lower Back ◽  
First Case

Abstract Background Previous research and published literature indicate that some patients with spinal diseases who underwent percutaneous transforaminal endoscopic decompression (PTED) still suffer some discomfort in the early recovery stage in the form of pain, stiffness, and swelling. These are usually considered minor residual symptoms or normal postoperative phenomenon (NPF) in the clinic, occur frequently, and are acknowledged by surgeons worldwide. To the best of our knowledge, we report the first case of a patient who had an osteoporotic vertebral fracture (OVF) misdiagnosed as NPF after she underwent PTED as a result of lumbar disc herniation (LDH). Case presentation A 71-year-old female with Parkinson’s disease who presented with lower back pain radiating to the legs was diagnosed as LDH in L4–5, after which a PTED of L4–5 was performed, with temporary alleviation of symptoms. However, severe lower back pain recurred. Unfortunately, the recurred pain initially misdiagnosed as NPF, in fact, was finally confirmed to be OVF by CT-scan. OVF in the early stage of post-PTED seldom occurs and is rarely reported in the literature. With a percutaneous vertebroplasty, the pain was significantly relieved, and she resumed walking. After 36-weeks of follow-up, the pain improved satisfactorily. Conclusion Doctors should not immediately diagnose a relapse of back pain following PTED as NPF, and hands-on careful physical and imaging examinations are necessary to manage recurring pain rightly and timely.

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