Adult ; Cervical Vertebrae ; injuries ; Female ; Fractures, Spontaneous ; etiology ; Histiocytosis, Langerhans-Cell ; complications ; Humans ; Paralysis ; etiology ; Spinal Fractures ; etiology

Adult ; Bone Diseases, Metabolic ; etiology ; Female ; Fractures, Spontaneous ; etiology ; Humans ; Liver Diseases, Alcoholic ; complications

Adult ; Diabetes Mellitus ; etiology ; Fractures, Spontaneous ; etiology ; Humans ; Hypogonadism ; etiology ; Hypoparathyroidism ; etiology ; Hypothyroidism ; etiology ; Iron Overload ; etiology ; Male ; Osteoporosis ; etiology ; Osteoporotic Fractures ; etiology ; Recurrence ; Transfusion Reaction ; beta-Thalassemia ; therapy

Aged ; Ankle Injuries ; complications ; Bone Neoplasms ; complications ; Fibula ; injuries ; Fractures, Spontaneous ; etiology ; Humans ; Ligaments, Articular ; injuries ; Male ; Osteochondroma ; complications ; Tibia

A case of pregnancy associated osteoporosis in a 26 year old woman with backache and vertebral com-pression fracture is presented. The radioactive 45-Ca uptake test showed a disturbance in intestinal calcium absorption. The bone densitometry measured by dual photon absorptiometry revealed severe osteoporosis the entire lumbar spine. After months without therapy, bone mineral density of the lumbar spine and femur were increased markedly and spontaneously.
Adult ; Back Pain/etiology ; Calcium/pharmacokinetics ; Case Report ; Female ; Fractures, Spontaneous/etiology ; Human ; Osteoporosis/*diagnosis ; Pregnancy ; Pregnancy Complications/*diagnosis ; Spinal Injuries/etiology

A case of pregnancy associated osteoporosis in a 26 year old woman with backache and vertebral com-pression fracture is presented. The radioactive 45-Ca uptake test showed a disturbance in intestinal calcium absorption. The bone densitometry measured by dual photon absorptiometry revealed severe osteoporosis the entire lumbar spine. After months without therapy, bone mineral density of the lumbar spine and femur were increased markedly and spontaneously.
Adult ; Back Pain/etiology ; Calcium/pharmacokinetics ; Case Report ; Female ; Fractures, Spontaneous/etiology ; Human ; Osteoporosis/*diagnosis ; Pregnancy ; Pregnancy Complications/*diagnosis ; Spinal Injuries/etiology

Adolescent ; Bone Nails ; adverse effects ; Femoral Fractures ; surgery ; Femoral Neck Fractures ; etiology ; Femur Neck ; pathology ; Fracture Fixation, Internal ; adverse effects ; instrumentation ; Fractures, Spontaneous ; etiology ; surgery ; Humans ; Male ; Postoperative Complications ; Reoperation

OBJECTIVETo evaluate the effect of kyphoplasty in treating osteoporotic thoracolumbar multi-vertebral compressive fractures with one balloon.

METHODSthirteen cases (37 vertebral bodies) of osteoporotic thoracolumbar multi-vertebral compressive fractures were treated. The patients were women, range 65 to 79 years old, and all with well intact posterior wall of vertebral body. 37 thoracolumbar vertebral bodies were treated by Kyphoplasty with one balloon under "C" armed imaging guiding.

RESULTSAll 13 patients tolerated well. The mean height of the anterior, media and posterior vertebral bodies was (1.9 +/- 0.5) cm, (1.5 +/- 0.5) cm, (2.6 +/- 0.5) cm preoperatively and (2.1 +/- 0.4) cm, (2.2 +/- 0.4) cm, (2.8 +/- 0.5) cm postoperatively (P < 0.001). The mean kyphosis was improved from (31.3 +/- 14.1) degrees to (24.8 +/- 11.3) degrees. There was not back pain and deformed correction was maintained well after 17.3 months' follow up, No complication occurred.

CONCLUSIONThe balloon was not damaged, because the pressure was lower than usual pressure, the cost of patients was saved. In this study, we fulfilled small amount of cement in vertebral body which reduced the leakage of cement. Fracture of close vertebral body was also reduced because of lower stiffness and modulus of elasticity of adjacent vertebral body.

Aged ; Catheterization ; instrumentation ; methods ; Female ; Follow-Up Studies ; Fracture Fixation, Internal ; instrumentation ; methods ; Fractures, Spontaneous ; etiology ; surgery ; Humans ; Middle Aged ; Minimally Invasive Surgical Procedures ; instrumentation ; methods ; Osteoporosis ; complications ; Spinal Fractures ; etiology ; surgery ; Treatment Outcome

OBJECTIVETo investigate the selectivity and individualization of transpedicular balloon kyphoplasty for aged osteoporotic spinal fracture.

METHODSTwenty-two consecutive procedures were performed in 17 aged patients with osteoporotic spinal compression fractures from April 2002 to June 2004. The signal changes in different sequences were confirmed by magnetic resonance imaging before the procedures. This operation involved the percutaneous insertion of two inflatable bone tamps into a fractured vertebral body transpedicularly under fluoroscopic guidance. Every patient was treated individually, according to the results of radiography and CT scan before operation. Preoperative and postoperative complications, visual analogue scale, and radiographic findings such as vertebral height and Cobb angle were recorded and analyzed.

RESULTSAll patients tolerated the procedure well with immediate relief of their back pain in 24 hours. There was no leakage of cement into the epidura. The mean loss percent of the anterior and middle vertebral heights were (35.32 +/- 13.15)% and (27.53 +/- 12.61)% before operation, and (14.21 +/- 12.43)% and (16.2 +/- 7.5)% after operation. The height restoration of vertebra was confirmed by X-ray after the procedure (P < 0.01). The mean kyphosis was improved from (25.3 +/- 4.2) degrees to (8.6 +/- 5.1) degrees. No complications occurred. No patient had nerve injury. The patients were allowed to walk next day after the procedure.

CONCLUSIONThe selectivity and individualization of transpedicular balloon kyphoplasty for aged osteoporotic spinal fractures has satisfactory short-term clinical efficacy. It is also an effective way to prevent complications.

Aged ; Aged, 80 and over ; Female ; Fracture Fixation, Internal ; methods ; Fractures, Spontaneous ; etiology ; surgery ; Humans ; Kyphosis ; etiology ; surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; methods ; Osteoporosis ; complications ; Osteoporosis, Postmenopausal ; complications ; Spinal Fractures ; surgery

OBJECTIVETo evaluate the efficacy of treating severe and chronic vertebral compressive fractures in the elderly with percutaneous vertebroplasty.

METHODSSixteen patients who suffered from severe back pain and whose daily living was badly affected were retrospectively reviewed. The average age was 72.5 years, the average disease history was 19 months, and the average compressive rate of the affected vertebral bodies was 74.1%.

RESULTSNineteen affected compressive vertebral bodies in 16 cases were treated with percutaneous vertebroplasty. All the procedures were successful without any complication. After 3.5-7 ml of cement was injected into the lesions, complete relief was achieved in 3 cases, remarkable relief was achieved in 11 cases, and improvement was observed in 2 cases. The scores of 6-point Behavioral Rating Scale and Activity of Daily Living (ADL) declined significantly after the treatment (P < 0.001).

CONCLUSIONPercutaneous vertebroplasty can significantly improve the symptoms and quality of life in the elderly patients with severe and chronic vertebral compressive fractures.

Activities of Daily Living ; Aged ; Aged, 80 and over ; Back Pain ; surgery ; Bone Cements ; therapeutic use ; Female ; Fractures, Spontaneous ; etiology ; surgery ; Humans ; Lumbar Vertebrae ; surgery ; Male ; Orthopedic Procedures ; methods ; Osteoporosis ; complications ; Quality of Life ; Retrospective Studies ; Spinal Fractures ; etiology ; surgery ; Thoracic Vertebrae ; surgery