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Compression Fractures in the Setting of Diffuse Idiopathic Skeletal Hyperostosis.

Silva AM, Tan SS, Makaranda MC, Chen JL - Asian Spine J (2015)

Bottom Line: They involve the anterior column of the spine, and are considered stable fractures due to the presence of intact posterior ligaments that aid in resisting further collapse and deformity.They are thus often managed conservatively.We describe a series of 3 cases that were initially diagnosed as compression fractures and managed conservatively.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

ABSTRACT
Compression fractures are the most common vertebral fractures. They involve the anterior column of the spine, and are considered stable fractures due to the presence of intact posterior ligaments that aid in resisting further collapse and deformity. They are thus often managed conservatively. We describe a series of 3 cases that were initially diagnosed as compression fractures and managed conservatively. With the abundance of compression fractures and increase in preference for conservative management of compression fractures, it is of utmost importance to recognize the possibility of other spinal co-pathologies, especially that of hyperostosis of the spine, both by clinical judgment as well as radiological analysis before embarking on conservative management, should there be under-treatment and development of complications that could have otherwise been avoided, as in the cases presented in this series.

No MeSH data available.


Related in: MedlinePlus

Patient 3. (A) Initial roentgenogram of the third case showing L1 chance fracture with cord compression. Magnetic resonance imaging of the third patient showing L1 chance fracture with cord compression (B) sagittal section, (C) cross section. (D) Intraoperative image intensifier images. (E) Postoperative roentgenogram with posterior stabilization.
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Figure 3: Patient 3. (A) Initial roentgenogram of the third case showing L1 chance fracture with cord compression. Magnetic resonance imaging of the third patient showing L1 chance fracture with cord compression (B) sagittal section, (C) cross section. (D) Intraoperative image intensifier images. (E) Postoperative roentgenogram with posterior stabilization.

Mentions: A 91-year-old male, who was premorbid ADL-independent with a background of ankylosing spondylitis (AS), presented to the Emergency Department on June 2011 following a low energy fall on the same day. There was no radiation of pain to the lower limbs, and no neurological signs or symptoms. The pain was not aggravated or relieved by postural changes or increase in abdominal pressure. The initial roentgenogram demonstrated a compression fracture at T12-L1 as shown in Fig. 3A, and the patient was managed conservatively with bed rest and analgesia.


Compression Fractures in the Setting of Diffuse Idiopathic Skeletal Hyperostosis.

Silva AM, Tan SS, Makaranda MC, Chen JL - Asian Spine J (2015)

Patient 3. (A) Initial roentgenogram of the third case showing L1 chance fracture with cord compression. Magnetic resonance imaging of the third patient showing L1 chance fracture with cord compression (B) sagittal section, (C) cross section. (D) Intraoperative image intensifier images. (E) Postoperative roentgenogram with posterior stabilization.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522458&req=5

Figure 3: Patient 3. (A) Initial roentgenogram of the third case showing L1 chance fracture with cord compression. Magnetic resonance imaging of the third patient showing L1 chance fracture with cord compression (B) sagittal section, (C) cross section. (D) Intraoperative image intensifier images. (E) Postoperative roentgenogram with posterior stabilization.
Mentions: A 91-year-old male, who was premorbid ADL-independent with a background of ankylosing spondylitis (AS), presented to the Emergency Department on June 2011 following a low energy fall on the same day. There was no radiation of pain to the lower limbs, and no neurological signs or symptoms. The pain was not aggravated or relieved by postural changes or increase in abdominal pressure. The initial roentgenogram demonstrated a compression fracture at T12-L1 as shown in Fig. 3A, and the patient was managed conservatively with bed rest and analgesia.

Bottom Line: They involve the anterior column of the spine, and are considered stable fractures due to the presence of intact posterior ligaments that aid in resisting further collapse and deformity.They are thus often managed conservatively.We describe a series of 3 cases that were initially diagnosed as compression fractures and managed conservatively.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

ABSTRACT
Compression fractures are the most common vertebral fractures. They involve the anterior column of the spine, and are considered stable fractures due to the presence of intact posterior ligaments that aid in resisting further collapse and deformity. They are thus often managed conservatively. We describe a series of 3 cases that were initially diagnosed as compression fractures and managed conservatively. With the abundance of compression fractures and increase in preference for conservative management of compression fractures, it is of utmost importance to recognize the possibility of other spinal co-pathologies, especially that of hyperostosis of the spine, both by clinical judgment as well as radiological analysis before embarking on conservative management, should there be under-treatment and development of complications that could have otherwise been avoided, as in the cases presented in this series.

No MeSH data available.


Related in: MedlinePlus