Objective: To discuss the case of a 79-year-old man who had a delayed posttraumatic vertebral collapse and an intravertebral vacuum cleft. The patient had been on long-term corticosteroid therapy. A discussion of Kummell's disease and the controversy surrounding the etiology of the condition is also presented.
Clinical Features: Six weeks before coming to the clinic, the patient remembered twisting, hearing a pop, and having severe low back pain. Two weeks after the incident, while hospitalized for bacterial cellulitis, he underwent lumbar spine radiography. The radiographs showed degenerative changes and remote (healed) compression fractures but did not demonstrate any deformity of L2. Four weeks later, he sought care for persistent low back pain. Radiographs revealed marked compression of the L2 vertebral body with an intravertebral vacuum phenomenon.
Intervention And Outcome: The patient was referred to his geriatrician for evaluation as a candidate for vertebroplasty or other stabilization procedures. He required a moderately high dose (60 mg) of prednisone daily to combat the symptoms of myasthenia gravis; therefore, the prognosis appears unfavorable for this patient.
Conclusion: Clinical research is needed to determine the definitive etiology and pathophysiology of Kummell's disease. This case demonstrates that the intravertebral vacuum is a dynamic entity, subject to changes in size and shape. Previous case reports have suggested that Kummell's disease only presents as a linear, horizontal cleft. This disease needs further investigation to determine the true correlation between radiographic signs and the underlying pathophysiology.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1067/mmt.2002.123164 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Predicting residual pain after vertebral augmentation in vertebral compression fractures: a systematic review and critical appraisal of risk prediction models.
BMC Musculoskelet Disord
January 2025
Department of Acupuncture and Moxibustion, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, China.
Background: Patients with vertebral compression fractures may experience unpredictable residual pain following vertebral augmentation. Clinical prediction models have shown potential for early prevention and intervention of such residual pain. However, studies focusing on the quality and accuracy of these prediction models are lacking.
View Article and Find Full Text PDFDeveloping predictive models for residual back pain after percutaneous vertebral augmentation treatment for osteoporotic thoracolumbar compression fractures based on machine learning technique.
J Orthop Surg Res
November 2024
Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Background: Machine learning (ML) has been widely applied to predict the outcomes of numerous diseases. The current study aimed to develop a prognostic prediction model using machine learning algorithms and identify risk factors associated with residual back pain in patients with osteoporotic vertebrae compression fracture (OVCF) following percutaneous vertebroplasty (PVP).
Methods: A total of 863 OVCF patients who underwent PVP surgery were enrolled and analyzed.
Risk factors for secondary vertebral compression fracture after percutaneous vertebral augmentation: a single-centre retrospective study.
J Orthop Surg Res
November 2024
Department of Minimally Invasive Spinal Surgery, The Affiliated Hospital of Wuhan Sports University, NO 279 Luoyu Road, Hongshan District, Wuhan, 430079, Hubei, China.
Article Synopsis
- The study aimed to assess the occurrence of secondary vertebral compression fractures (SVCF) after percutaneous vertebral augmentation (PVA) and to identify associated risk factors for better clinical guidance.
- A retrospective analysis involved 288 PVA cases, categorizing patients into groups based on whether they experienced SVCF during follow-up, while collecting various health and procedural data.
- Results showed a 14.60% incidence of SVCF, with significant risk factors identified, including age, body mass index, fat infiltration in muscles, cement leakage, and procedural techniques, evaluated through statistical analyses.
A biomechanical investigation comparing a novel bone cement bridging screw system with conventional treatment methods for Kummell's disease.
Sci Rep
October 2024
Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Based on the characteristics of Kummell's disease (KD) and related anatomical structures of the thoracolumbar spine, a novel bone cement screw system has been designed to effectively avoid the cement loosening and displacement. This experiment aimed to assess the biological effects of the novel bone cement screw system in KD on fresh cadaveric thoracolumbar spine specimens, thereby discussing its potential application value and providing a foundation for clinical implementation. This study employed a total of 50 fresh female adult cadaver specimens.
View Article and Find Full Text PDFMultilevel Vertebral Body Osteonecrosis in an Adult Patient: A Rare Case with Review of Literature.
J Assoc Physicians India
October 2024
Senior Resident, Department of Diagnostic and Intervention Radiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Article Synopsis
- Osteonecrosis is a condition marked by bone death due to reduced blood flow, seen in various locations and stemming from different causes, like medications and radiotherapy.
- A unique case study is discussed where a 52-year-old woman, undergoing chemotherapy for lymphoma, developed rare multilevel osteonecrosis in her vertebrae, indicating the complexity of the condition.
- The case highlights the need for more research on diagnosing and treating vertebral osteonecrosis, given its rarity and the complications that arise from treatment interactions and lack of standardized protocols.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!