Vertebroplasty for the Treatment of Compression Fractures in the Upper and Middle Thoracic Spine

X-ray diagnostics of compression fractures of bodies of the thoracic vertebrae in children not seldom causes great difficulties due to the fact that even in healthy children vertebrae have a number of features, particularly, the wedge shape. For the purpose of differential diagnosis there was performed chest X-ray examination of the thoracic vertebrae in healthy children and cases after the compression damage. The wedge index and the disk coefficient for various segments of the thoracic spine were calculated. The diagnostic efficiency of radionuclide studies was estimated to reaches 79%. The useof highly informative modern medical techniques (CT and MRI) in the diagnosis of vertebral compression fractures in children allows accurately and timely make the diagnosis and determine the condition of the surrounding tissues. Based on the analysis of medical records, radiographs, identification of options of radionuclide, CT and MRI studies, there was elaborated an algorithm for the diagnosis of compression fractures of vertebrae, which allowed optimize the diagnostic process. There are determined advantages of this algorithm.

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A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack

Case Reports in Orthopedics ◽

10.1155/2015/646352 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Ebru Atalar ◽

Cuneyd Gunay ◽

Hakan Atalar ◽

Tugba Tunc

Keyword(s):

Back Pain ◽

Thoracic Spine ◽

Type I Diabetes ◽

Compression Fracture ◽

Diabetic Patients ◽

Type I ◽

Rare Injury ◽

Compression Fractures ◽

History Of ◽

Insulin Dependent Diabetic

A 49-year-old male presented with acute midthoracic severe back pain following a witnessed nocturnal convulsion attack. There was no history of trauma and the patient had a 23-year history of Type I diabetes mellitus. MRI scans of the thoracic spine revealed compression fractures at T5, T6, T7, and T8 vertebrae. The patient was treated conservatively. At 17 months after the initial diagnosis, the complaints of back pain had been resolved and the patient was able to easily undertake daily living activities. Hypoglycaemia is a common problem in diabetic patients treated with insulin. Convulsions may occur as a consequence of insulin-induced hypoglycemia. Nontraumatic compression fractures of the thoracic spine following seizures are a rare injury. Contractions of strong paraspinal muscles can lead to compression fracture of the midthoracic spine. Unrecognized hypoglycaemia should be considered to be a possible cause of convulsions in insulin-dependent diabetic patients. The aim of this report is to point out a case of rarely seen multilevel consecutive vertebrae fractures in a diabetic patient after a nocturnal hypoglycaemic convulsion attack.

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Link compression fractures of the thoracic spine syndrome and connective tissue dysplasia with changes in the electrocardiogram in children

Journal of New Medical Technologies eJournal ◽

10.12737/11907 ◽

2015 ◽

Vol 9 (2) ◽

pp. 0-0

Author(s):

Соболенкова ◽

V. Sobolenkova ◽

Федоров ◽

S. Fedorov

Keyword(s):

Connective Tissue ◽

Thoracic Spine ◽

Bone Fractures ◽

Physical Culture ◽

Compression Fractures ◽

High Elasticity ◽

High Incidence ◽

Fractures Of The Spine ◽

Connective Tissue Dysplasia ◽

Increased Activity

Syndrome connective tissue dysplasia most often in children is manifested by changes in the musculoskeletal system, including bone fractures. The high incidence of cardiac dysfunction is observed in this syndrome, as well as in the pathology of the thoracic spine. In this study, 79.9% of children with compression fractures of the spine had symptoms of connective tissue dysplasia, the most striking manifestations were presented by hyper-mobility of the joints, thinning and high elasticity of the skin, deformities of the lower extremities (p=0.01). These patients were significantly more frequent overgrowth, diseases of respiratory system and otolaryngology. These children (33.9%) had engaged in physical culture at school in full. The children with connective tissue dysplasia (35.1%) were engaged in sports sections, according to the survey, these sections are gymnastics, soccer, dance (r=0,01). In this group there were injuries on the lessons of physical culture and sports twice as often. The analysis of the ECG in these patients allowed the authors to reliably detect increased activity of the left ventricle syndrome and early repolarization of the ventricles (p=0.01). Currently, the latter phenomenon is of great interest in the study because it is considered as a predictor of ventricular and supra-ventricular arrhythmias.

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The Effect of Vertebroplasty on Pulmonary Function in Patients With Osteoporotic Compression Fractures of the Thoracic Spine

Journal of Spinal Disorders & Techniques ◽

10.1097/bsd.0b013e3181dd812f ◽

2011 ◽

Vol 24 (2) ◽

pp. E11-E15 ◽

Cited By ~ 12

Author(s):

Jun-Seok Lee ◽

Ki-Won Kim ◽

Kee-Yong Ha

Keyword(s):

Pulmonary Function ◽

Thoracic Spine ◽

Compression Fractures ◽

Osteoporotic Compression Fractures

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The Clinical Significance of Adjacent Rib Involvement on MRI in Patients with Acute Osteoporotic Compression Fractures of the Thoracic Spine

Journal of the Korean Society of Radiology ◽

10.3348/jksr.2012.66.5.473 ◽

2012 ◽

Vol 66 (5) ◽

pp. 473

Author(s):

Hyun-Joo Kim ◽

Jae Hyun Kim ◽

Kui Hyang Kwon ◽

Deuk Lin Choi ◽

Won Kyung Bae ◽

...

Keyword(s):

Clinical Significance ◽

Thoracic Spine ◽

Compression Fractures ◽

Osteoporotic Compression Fractures

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Finite Element Method Analysis of Compression Fractures on Whole-Spine Models Including the Rib Cage

Computational and Mathematical Methods in Medicine ◽

10.1155/2019/8348631 ◽

2019 ◽

Vol 2019 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Norihiro Nishida ◽

Junji Ohgi ◽

Fei Jiang ◽

Saki Ito ◽

Yasuaki Imajo ◽

...

Keyword(s):

Finite Element Method ◽

Finite Element ◽

Thoracic Spine ◽

Medical Images ◽

Compression Fracture ◽

Rib Cage ◽

Compression Fractures ◽

Spine Model ◽

Whole Spine ◽

Element Method

Spinal compression fractures commonly occur at the thoracolumbar junction. We have previously constructed a 3-dimensional whole-spine model from medical images by using the finite element method (FEM) and then used this model to develop a compression fracture model. However, these models lacked the rib cage. No previous study has used whole-spine models including the rib cage constructed from medical images to analyze compression fractures. Therefore, in this study, we added the rib cage to whole-spine models. We constructed the models, including a normal spine model without the rib cage, a whole-spine model with the rib cage, and whole-spine models with compression fractures, using FEM analysis. Then, we simulated a person falling on the buttocks to perform stress analysis on the models and to examine to what extent the rib cage affects the analysis of compression fractures. The results showed that the intensity of strain and the vertebral body with minimum principle strain differed between the spine model including the rib cage and that excluding the rib cage. The strain on the spine model excluding the rib cage had approximately twice the intensity of the strain on the spine model including the rib cage. Therefore, the rib cage contributed to the stability of the thoracic spine, thus preventing deformation of the upper thoracic spine. However, the presence of the rib cage increased the strain around the site of compression fracture, thus increasing the possibilities of a refracture and fractures of adjacent vertebral bodies. Our study suggests that the analysis using spine models including the rib cage should be considered in future investigations of disorders of the spine and internal fracture fixation. The development of improved models may contribute to the improvement of prognosis and treatment of individual patients with disorders of the spine.

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