Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Percutaneous Vertebroplasty for Pregnancy-Associated Osteoporotic Vertebral Compression Fractures

  • Kim, Han-Woong (Department of Neurosurgery, Gwangju Saewoori Spine Hospital) ;
  • Song, Jae-Wook (Department of Neurosurgery, Gwangju Saewoori Spine Hospital) ;
  • Kwon, Austin (Department of Neurosurgery, Gwangju Saewoori Spine Hospital) ;
  • Kim, In-Hwan (Department of Neurosurgery, Gwangju Saewoori Spine Hospital)
  • Received : 2009.09.30
  • Accepted : 2010.05.03
  • Published : 2010.05.28
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Abstract

Osteoporosis is a worldwide problem and it mainly affects postmenopausal women. Osteoporosis associated with pregnancy or lactation is a rare condition. The incidence and mechanism of this phenomenon has not been clarified, but it can cause one or more vertebral compression fractures with severe, prolonged back pain in the affected women. We experienced this uncommon case, treated it with percutaneous vertebroplasty. A 35-old-woman visited our hospital with complaints of severe back pain and flank pain 2 months after normal vaginal delivery. She was diagnosed with osteoporotic vertebral compression fractures on the T5, 8, 9 and 11 vertebral bodies and we performed percutaneous vertebroplasty on the T8, 9 and 11 vertebrae with a good result. We present here an unusual case of pregnancy-associated compression fractures treated by percutaneous vertebroplasty.

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References

  1. Anai T, Tomiyasu T, Arima K, Miyakawa I : Pregnancy-associated osteoporosis with elevated levels of circulating parathyroid hormonerelated protein : a report of two cases. J Obstet Gynaecol Res 25 : 63-67, 1999 https://doi.org/10.1111/j.1447-0756.1999.tb01124.x
  2. Bayram S, Ozturk C, Sivrioglu K, Aydinli U, Kucukoglu S : Kyphoplasty for pregnancy-associated osteoporotic vertebral fractures. Joint Bone Spine 73 : 564-566, 2006 https://doi.org/10.1016/j.jbspin.2005.11.015
  3. Blattert TR, Jestaedt L, Weckbach A : Suitability of a calcium phosphate cement in osteoporotic vertebral body fracture augmentation : a controlled, randomized, clinical trial of balloon kyphoplasty comparing calcium phosphate versus polymethylmethacrylate. Spine (Phila Pa 1976) 34 : 108-114, 2009 https://doi.org/10.1097/BRS.0b013e31818f8bc1
  4. Di Gregorio S, Danilowicz K, Rubin Z, Mautalen C : Osteoporosis with vertebral fractures associated with pregnancy and lactation. Nutrition 16 : 1052-1055, 2000 https://doi.org/10.1016/S0899-9007(00)00430-5
  5. Dunne F, Walters B, Marshall T, Heath DA : Pregnancy associated osteoporosis. Clin Endocrinol (Oxf) 39 : 487-490, 1993 https://doi.org/10.1111/j.1365-2265.1993.tb02398.x
  6. Kaur M, Pearson D, Godber I, Lawson N, Baker P, Hosking D : Longitudinal changes in bone mineral density during normal preg-nancy. Bone 32 : 449-454, 2003 https://doi.org/10.1016/S8756-3282(03)00017-6
  7. Lee KH, Kim YJ, Kim SJ : A case of postpregnancy spinal osteoporosis. Korean J Med 65 : s810-s814, 2003
  8. Noh CH, Yi JS, Lee HJ, Yang JH, Lee IW, Kim MC : Effect of percutaneous vertebroplasty with polymethylmethacrylate to osteoporotic spinal compression fractures and bursting fractures. J Korean Neurosurg Soc 35 : 365-371, 2004
  9. Nordin BE, Roper A : Post-pregnancy osteoporosis; a syndrome? Lancet 268 : 431-434, 1955
  10. Reid IR, Wattie DJ, Evans MC, Budayr AA : Post-pregnancy osteoporosis associated with hypercalcemia. Clin Endocrinol (Oxf) 37 :298-303, 1992 https://doi.org/10.1111/j.1365-2265.1992.tb02325.x
  11. Seo JY, Kim HK, Choi CS, Kim DM, Ihm SH, Yoo JM, et al. : A case of postpregnancy spinal osteoporosis. J Korean Soc Endocrinol 16 : 265-270, 2001
  12. Wisser J, Florid I, Neff M, König V, Huch R, Huch A, et al. : Changes in bone density and metabolism in pregnancy. Acta Obstet Gynecol Scand 84 : 349-354, 2005 https://doi.org/10.1111/j.0001-6349.2005.00766.x
  13. Yoon BK, Lee JW, Choi DS, Roh CR, Lee JH : Changes in biochemical bone markers during pregnancy and puerperium. J Korean Med Sci 15 : 189-193, 2000 https://doi.org/10.3346/jkms.2000.15.2.189

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