E-ISSN 2636-865X
Case report
Multiple Steroid-Induced Vertebral Fracture With Paraparesis Associated With Wegener's Granulomatosis Treated With Posterior Spinal Instrumentation
1 Gifu University, Orthopaedic Surgery, Gifu, Japan  
2 Ibi Kousei Hospital, Orthopaedic Surgery, Gifu, Japan  
Neurol Sci Neurophysiol 2008; 25: 67-71

Key Words: Steroid therapy, vertebral fracture, surgical treatment, Wegener's granulomatosis, thoracic spine, osteoporosis, kyphosis
Abstract

We report a rare case of multiple steroid-induced vertebral fractures associated with Wegener's granulomatosis. The patient had been administered prednisolone (20 mg/day) for 7 years. He visited us because of severe back pain after a slight fall. Motor weakness was detected below the L1 level. Radiographs and MRI of the spine revealed burst fractures of T5-6, and compression fractures of T9-10, T12, and L3-4 with steroid-induced osteoporosis. At the level of T5-6, the spinal cord was compressed. Conservative therapy had no effect. Posterior spinal fusion using a Hartshill Rectangular Rod and sublaminar wire without decompression was performed. Postoperatively, the back pain disappeared and his neurological deficit and activity of daily living ameliorated.

 

How to cite this article:
N. TERABAYASHI, K. MIYAMOTO, H. SAKAI, H. HOSOE, K. SHIMIZU: Multiple Steroid-Induced Vertebral Fracture With Paraparesis Associated With Wegener's Granulomatosis Treated With Posterior Spinal Instrumentation. J Neurol Sci [Turk] 2008;25:067-071

 

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