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KMID : 0828520090130020101
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Journal of the Korean Geriatrics Society
2009 Volume.13 No. 2 p.101 ~ p.105
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Delayed Subsequent Refracture of a Thoracolumbar Vertebral Compression Fracture
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Kim Bo-Ram
Lee In-Sik
Koh Seong-Eun
Kim Se-Won
Kim Seung-Beom
Kim Seon-Yu
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Abstract
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Most patients experiencing an osteoporotic vertebral compression fracture remain asymptomatic or minimally ymptomatic.
However, a notable number of these patients do experience significant pain at some time resulting in disability and decreased quality of life. A 77-year-old man was admitted to a hospital with severe thoracolumbar pain and functional
disabilities even though, 12 months ago, he had received inpatient treatment for 6 months in another hospital with
the diagnosis of T12 vertebral compression fracture. Although initial outside spine MRI revealed a stable T12 com pression
fracture with a 27.6% compression rate, delayed subsequent re-fracture of the same vertebrae was found on simple
X-ray and thoracolumbar CT scan with an 86.5% compression rate and retropulsion to the central spinal canal. He
continued to have severe spinal pain and functional disabilities in spite of undergoing a first anterolateral fusion one
year ago and a subsequent posterior fusion. We emphasize a proper clinical and radiologic examination at one-year
follow-up after successful conservative treatment of vertebral compression fractures.
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KEYWORD
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Compression fractures, Thoracolumbar, Subsequent refracture
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