Fang Yue-Peng, Lu Ying-Jie, Gan Min-Feng, Shen Xu, Lu Dongdong
Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Orthopedics, Suzhou Dushuhu Public Hospital, Suzhou, China.
Ann Palliat Med. 2021 Apr;10(4):4944-4949. doi: 10.21037/apm-19-264. Epub 2020 Nov 19.
When patients combined thoracolumbar osteoporotic vertebral compression fracture (OVCF) with lumbar degenerative disease, whose main clinical manifestations are distal lumbosacral pain (DLP), the therapeutic schedule should be made cautiously. We reported an 80-year-old female presented with long-term lumbosacral pain accused of lumbar disc herniation. Percutaneous kyphoplasty (PKP) had been received because of OVCF at L1 vertebral body. Twenty days ago, the elderly felt the DLP was aggravated with no obvious reason. Magnetic resonance imaging (MRI) showed the fresh compression fracture of L2 vertebral body, but the palpation found absence of focal tenderness. Then, we chose to perform PKP at L2 vertebral body, and the patient felt substantial pain relief of lumbosacral area after operation. This case showed that patient manifested as DLP that combined thoracolumbar OVCF with lumbar degenerative disease, PKP has a significant relieving effect on lumbosacral pain.
当患者合并胸腰椎骨质疏松性椎体压缩骨折（OVCF）和腰椎退行性疾病，主要临床表现为腰骶部远端疼痛（DLP）时，治疗方案应谨慎制定。我们报告了一名80岁女性，长期腰骶部疼痛，曾被诊断为腰椎间盘突出症。因L1椎体OVCF接受了经皮椎体后凸成形术（PKP）。20天前，该患者无明显诱因出现DLP加重。磁共振成像（MRI）显示L2椎体新鲜压缩骨折，但触诊未发现局部压痛。然后，我们选择对L2椎体进行PKP，术后患者腰骶部疼痛明显缓解。该病例表明，对于合并胸腰椎OVCF和腰椎退行性疾病且表现为DLP的患者，PKP对腰骶部疼痛有显著缓解作用。
