Korean J Radiol.  2014 Dec;15(6):797-801. 10.3348/kjr.2014.15.6.797.

Percutaneous Vertebroplasty of the Entire Thoracic and Lumbar Vertebrae for Vertebral Compression Fractures Related to Chronic Glucocorticosteriod Use: Case Report and Review of Literature

• Tian QH
• Wu CG
• Xiao QP
• He CJ
• Gu YF
• Wang T
• Li MH

• KMID: 1794652
• DOI: http://doi.org/10.3348/kjr.2014.15.6.797

Abstract

Glucocorticosteroid-induced osteoporosis is the most frequent of all secondary types of osteoporosis, and can increase the risk of vertebral compression fractures (VCFs). There are promising additions to current medical treatment for appropriately selected osteoporotic patients. Few studies have reported on the efficiency of percutaneous vertebroplasty (PVP) or kyphoplasty for whole thoracic and lumbar glucocorticosteroid-induced osteoporotic vertebral compression fractures. We report a case of a 67-year-old man with intractable pain caused by successional VCFs treated by PVP.

Keyword

Percutaneous vertebroplasty; Entire thoracic and lumber vertebra; Osteoporotic vertebral compression fractures; Steroids

MeSH Terms

Aged
Arthritis, Rheumatoid/drug therapy
Fractures, Compression/*radiography
Glucocorticoids/*adverse effects/therapeutic use
Humans
Kyphoplasty
Lumbar Vertebrae/radiography/surgery
Male
Osteoporosis/*chemically induced/radiography/surgery
Pulmonary Fibrosis/drug therapy
Thoracic Vertebrae/radiography/surgery
Vertebroplasty
Glucocorticoids

Figure

• 

  Fig. 1 Images illustrating pre-vertebroplasty MR and post-vertebroplasty CT and X-ray.A, B. Last T2-weighted, T1-weighted sagittal magnetic resonance images demonstrating newly developed compression fractures on first to fifth thoracic vertebral bodies. C. Sagittal reformatted CT image showed 17 cement-augmented vertebral bodies from first to fifth thoracic vertebrae and good distribution of bone cement. D, E. Last thoracolumbar spinal radiographs of anteroposterior and lateral projections.

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