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Delayed Neurologic Deficit due to Foraminal Stenosis following Osteoporotic Late Collapse of a Lumbar Spine Vertebral Body
Joint Authors
Sasaki, Yu
Sonobe, Masato
Ohtori, Seiji
Takahashi, Kazuhisa
Aoki, Yasuchika
Shibata, Yoshifumi
Nakagawa, Koichi
Nakajima, Arata
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-03-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We report an 85-year-old woman with an L3 vertebral body fracture who presented with back pain, bilateral leg pain, and weakness after four months of conservative treatment.
Because of unstable pseudoarthrosis, the L3 vertebral body collapsed in the standing position and the L3 nerve root was compressed.
The indicated surgery decompressed the L3-L4 foramen and fused the unstable segment.
The back pain and neurologic symptoms improved significantly following surgery.
We propose that delayed neurologic deficit following an osteoporotic fracture of the lumbar body may be caused not only by retropulsion of vertebral body fragments with significant canal compromise, but also by foraminal stenosis with the late collapse of the vertebral fracture.
This new pathomechanism for delayed neurologic deficit has not been previously described.
If a collapse takes place in the caudal part of the vertebral body below the base of the pedicle, spine surgeons should be aware of the possibility of foraminal stenosis.
American Psychological Association (APA)
Sasaki, Yu& Aoki, Yasuchika& Nakajima, Arata& Shibata, Yoshifumi& Sonobe, Masato& Takahashi, Kazuhisa…[et al.]. 2013. Delayed Neurologic Deficit due to Foraminal Stenosis following Osteoporotic Late Collapse of a Lumbar Spine Vertebral Body. Case Reports in Orthopedics،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-490126
Modern Language Association (MLA)
Sasaki, Yu…[et al.]. Delayed Neurologic Deficit due to Foraminal Stenosis following Osteoporotic Late Collapse of a Lumbar Spine Vertebral Body. Case Reports in Orthopedics No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-490126
American Medical Association (AMA)
Sasaki, Yu& Aoki, Yasuchika& Nakajima, Arata& Shibata, Yoshifumi& Sonobe, Masato& Takahashi, Kazuhisa…[et al.]. Delayed Neurologic Deficit due to Foraminal Stenosis following Osteoporotic Late Collapse of a Lumbar Spine Vertebral Body. Case Reports in Orthopedics. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-490126
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490126