Nontraumatic A number of Vertebral Compression Fractures Induced by Major Hyperparathyroidism: A Case Report and Literature Evaluate.
World Neurosurg. 2017 Dec;108:992.e5-992.e9
Authors: Choi MK, Kim SM
BACKGROUND: Major hyperparathyroidism (PHPT) is without doubt one of the causes of osteoporosis and is understood to extend the fracture danger of bone. Nevertheless, a number of vertebral compression fracture due to PHPT is extraordinarily uncommon.
CASE DESCRIPTION: A case of acute a number of vertebral compression fracture in a affected person with PHPT is described. The fracture occurred abruptly with out trauma. The affected person had a low T rating (-Four.Four), and serum hypercalcemia and phosphatemia have been evident. On examination, serum parathyroid hormone was discovered to be elevated, and PHPT was recognized by neck sonography and technetium-99m methoxyisobutylisonitrile scan. As soon as the affected person was recognized with PHPT, we carried out subtotal parathyroidectomy and corrective spinal surgical procedure for a number of compression fractures.
CONCLUSIONS: When a affected person has a number of compression fractures with none trauma historical past and a really low T rating, the presence of different underlying illnesses needs to be investigated.
PMID: 28882718 [PubMed – indexed for MEDLINE]