Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft
Joint Authors
Kida, Kazunobu
Tani, Toshikazu
Kawazoe, Tateo
Toda, Michio
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The present study documents a phenomenon, which has received little attention despite its potential clinical importance.
An 87-year-old woman presented with barely reported extravertebral gas and fluid collections probably originating from the contents of the adjacent cleft within the T10 collapsed osteoporotic vertebra.
Her chief complaint was intractable pain radiating over the left thorax suggestive of intercostal neuralgia.
The pain intensified when sitting up from a lateral decubitus position, correlating with a posture-related radiologic change of the intravertebral cleft, which appeared with a decubitus position and disappeared with a sitting position.
Because these extravertebral collections were located where the 10th thoracic nerve root just exits the intervertebral foramina, her chest pain of a posture-dependent nature most likely resulted from nerve root compression by extravertebral gas and fluid forced out of the vertebral cleft.
Posterior spinal fusion with pedicle screw instrumentation resulted in a complete resolution of the chest pain with disappearance of the extravertebral gas and fluid accumulations.
An awareness of the possibility that the intravertebral cleft could communicate with the extravertebral space close to the nerve root will help avoid neurologic complications caused by bone cement leakage during vertebroplasty.
American Psychological Association (APA)
Kida, Kazunobu& Tani, Toshikazu& Kawazoe, Tateo& Toda, Michio. 2019. Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft. Case Reports in Orthopedics،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142647
Modern Language Association (MLA)
Kida, Kazunobu…[et al.]. Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft. Case Reports in Orthopedics No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1142647
American Medical Association (AMA)
Kida, Kazunobu& Tani, Toshikazu& Kawazoe, Tateo& Toda, Michio. Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft. Case Reports in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142647
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142647