Multilevel Thoracolumbar Compression Fractures in a Patient with Secondary Osteoporosis Who Received Lumbar Steroid Injections Frequently over a Short Period
10.4055/jkoa.2025.60.4.311
- Author:
Tae-Woo KIM
1
;
Byeong-Mun PARK
;
Jungkeun YOO
;
Chang-Yk LEE
Author Information
1. Department of Orthopedic Surgery, Samsung Medical Center, Seoul, Korea
- Publication Type:Case Report
- From:The Journal of the Korean Orthopaedic Association
2025;60(4):311-315
- CountryRepublic of Korea
- Language:English
-
Abstract:
Epidural steroid injection is a procedure in which steroids are injected into the epidural space of the spine. Its effectiveness has been demonstrated in numerous systematic reviews. In South Korea, the guidelines recommend administering the procedure three times at intervals of at least one week. In some patients, however, symptoms can recur even after three injections, leading them to receive the procedure multiple times a year. The authors report a case of a 59-year-old male patient who developed a secondary adrenal insufficiency and multiple osteoporotic compression fractures in the T8, T11, T12, L3, and L4 vertebral bodies after receiving eight epidural injections of 10 mg dexamethasone over 10 weeks for back pain and left lower extremity radiating pain which occurred without trauma. This paper reports this case along with a review of the relevant literature.
