Pregnancy-associated osteoporosis with eight fractures in the vertebral column treated with kyphoplasty and bracing: a case report

Archives of Orthopaedic and Trauma Surgery
J BonackerM Kröber

Abstract

Pregnancy-associated osteoporosis is a rare condition, which imposes multiple symptoms in the musculoskeletal system. Common complaints announced by patients are severe pain in the lower back, hips and the joints of the lower extremities with a reduced and less mobility status in general. Most of the patients' problems occur in the last trimester of pregnancy or postpartum and are often not diagnosed as side effects of osteoporosis but as problems associated with pregnancy. Although vertebral fractures are rare complications of pregnancy-associated osteoporosis, they should be always considered in women presenting with an acute pain syndrome in peripregnancy period. This case presents a 40-year-old primagravid woman who developed pain in hips and severe pain in the lower back causing an immobilization diagnosed with a pregnancy-associated osteoporosis with eight compression fractures in the thoracic and lumbar spine. Because of sagittal imbalance of the spine, she was treated with kyphoplasty at the four lumbar fractures and with bracing for the upper, thoracic ones, additional to the conservative anti-osteoporotic therapy. The authors discuss pregnancy-associated osteoporosis and its clinical presentation, as well as the indic...Continue Reading

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Citations

May 6, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C S Kovacs, S H Ralston
Sep 12, 2014·European Journal of Endocrinology·Lucía Sanz-SalvadorAntonio Cano
Jan 23, 2017·Archives of Osteoporosis·Peyman HadjiIoannis Kyvernitakis
Oct 27, 2017·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Gulcan OzturkIlknur Aktas
Sep 6, 2014·Current Opinion in Endocrinology, Diabetes, and Obesity·Christopher S Kovacs
Oct 2, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·I KyvernitakisP Hadji
Sep 8, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M LarocheY Degboe
Jul 28, 2019·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Adi CohenElizabeth Shane
Feb 24, 2021·Calcified Tissue International·Sarah A Hardcastle
Nov 5, 2021·BMC Musculoskeletal Disorders·Ying QianWeimin Huang

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