Jang Jeong Yoon, Lee Jae Gun, Jeong In-Kyung, Ahn Kyu Jeong, Chung Ho Yeon, Yang Hyung-In, Lee Sang-Hoon
Department of Rheumatology, College of Medicine, East-West Neo Medical Center, Kyung Hee University, Seoul, South Korea.
Rheumatol Int. 2009 Sep;29(11):1359-62. doi: 10.1007/s00296-008-0820-4. Epub 2008 Dec 12.
Post-pregnancy osteoporosis is not a common disease and is hard to diagnosis because their specific situation is post-partum and lactation. It commonly occurs on lumbar spine within a few months after the birth of a patient's first child and it could lead to be fracture after minor trauma. Although its etiology is not clear, it would not be of sufficient magnitude to cause fractures unless the woman already had a substantial decrease in bone mass. Also, it is rare to be combined with ankylosing spondylitis. Ankylosing spondylitis has a higher risk of osteoporosis and vertebral fracture which increased with the duration of disease. We report a case of post-pregnancy osteoporosis with multiple spinal compression fracture in association of ankylosing spondylitis.
产后骨质疏松症并不常见，由于其特定情况为产后及哺乳期，所以难以诊断。它通常在患者首次分娩后的几个月内发生于腰椎，轻微外伤后即可导致骨折。尽管其病因尚不清楚，但除非女性的骨量已经大幅下降，否则不足以导致骨折。此外，合并强直性脊柱炎的情况也很罕见。强直性脊柱炎患者发生骨质疏松症和椎体骨折的风险较高，且风险随病程延长而增加。我们报告一例产后骨质疏松症合并强直性脊柱炎导致多发脊柱压缩性骨折的病例。
