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Journal of Korean Neurosurgical Society 2004;35(2): 217-219.
Acute New Compression Fractures of Consecutive Vertebral Bodies Adjacent to the Previously Augmented Level with Kyphoplasty.
Sung Bum Kim, Seong Hoon Oh, Hyeong Joong Yi
Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. osh8496@hanyang.ac.kr
We report two cases of consecutive 3 level compression fractures in two female previously treated for 1 level osteoporotic compression fracture with kyphoplasty after 1 month and 2 weeks, respectively. First patient showed T12, L1, L2 level compression fractures after kyphoplasty on L3, and second patient showed L2, L4, L5 level fractures after same prcedure on L3. Any other specific pathologic lesions were not seen on bone scan. Bone mineral density (BMD) showed severe osteoporsis of multiple levels. We suggest that patients with severe osteoporosis must be thoroughly informed of this infrequent, albeit troblesome acute new compression fractures adjacent to the previously augmented level occurred following such a short period of kyphoplasty.
Key Words: Kyphoplasty; Osteoporosis; Adjacent; Compression fracture; Consecutive
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