Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft
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...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/4284217 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561205541076992 |
|---|---|
| author | Kazunobu Kida Toshikazu Tani Tateo Kawazoe Michio Toda |
| author_facet | Kazunobu Kida Toshikazu Tani Tateo Kawazoe Michio Toda |
| author_sort | Kazunobu Kida |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2577dcbceee640829c64f8e4e93fced1 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-2577dcbceee640829c64f8e4e93fced12025-02-03T01:25:36ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/42842174284217Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum CleftKazunobu Kida0Toshikazu Tani1Tateo Kawazoe2Michio Toda3Department of Orthopaedic Surgery, Kubokawa Hospital, 902-1 Mitsuke, Shimanto-cho, Takaoka-gun, Kochi 786-0002, JapanDepartment of Orthopaedic Surgery, Kubokawa Hospital, 902-1 Mitsuke, Shimanto-cho, Takaoka-gun, Kochi 786-0002, JapanDepartment of Orthopaedic Surgery, Kubokawa Hospital, 902-1 Mitsuke, Shimanto-cho, Takaoka-gun, Kochi 786-0002, JapanDepartment of Orthopaedic Surgery, Kurashiki Medical Center, 250 Bakuro-cho, Kurashiki City, Okayama 710-8522, JapanThe 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.http://dx.doi.org/10.1155/2019/4284217 |
| spellingShingle | Kazunobu Kida Toshikazu Tani Tateo Kawazoe Michio Toda Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft Case Reports in Orthopedics |
| title | Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft |
| title_full | Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft |
| title_fullStr | Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft |
| title_full_unstemmed | Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft |
| title_short | Thoracic Radicular Pain Caused by Extravertebral Gas and Fluid Collections Associated with Osteoporotic Vertebral Fracture Containing a Vacuum Cleft |
| title_sort | thoracic radicular pain caused by extravertebral gas and fluid collections associated with osteoporotic vertebral fracture containing a vacuum cleft |
| url | http://dx.doi.org/10.1155/2019/4284217 |
| work_keys_str_mv | AT kazunobukida thoracicradicularpaincausedbyextravertebralgasandfluidcollectionsassociatedwithosteoporoticvertebralfracturecontainingavacuumcleft AT toshikazutani thoracicradicularpaincausedbyextravertebralgasandfluidcollectionsassociatedwithosteoporoticvertebralfracturecontainingavacuumcleft AT tateokawazoe thoracicradicularpaincausedbyextravertebralgasandfluidcollectionsassociatedwithosteoporoticvertebralfracturecontainingavacuumcleft AT michiotoda thoracicradicularpaincausedbyextravertebralgasandfluidcollectionsassociatedwithosteoporoticvertebralfracturecontainingavacuumcleft |