However, whole-body MRI is less suitable in assessing response to therapy than FDG-PET 9). Both FDG-PET in combination with lowdose CT and whole-body MRI are more sensitive than skeleton X-ray in screening and diagnosing multiple myeloma. The involvement of >10 bone marrow focal points and diffuse infiltration on MRI are more risky factors to predict vertebral fractures 6). In particular, the early stages of disease with less prominent osteolytic changes and diffuse infiltration patterns are more reliably visualized with the use of MRI 16). Moreover, whole-body MRI showed a diagnostic accuracy superior to that of multislice computed tomography. 1.5 tessler whole body STIRMRI can detect bone marrow infiltration in about 74% of multiple myeloma patients. The combined use of multidetector CT and MRI is also useful for initial staging of multiple myeloma 10). Both multidetector CT and MRI are recommended for mid- and long-term monitoring 5). 3).Ĭonventional radiological imaging is a method for staging multiple myeloma as well as for assessing complications of the skeletal system. On an MRI of the thoracolumbar spine taken one month later, T10, L1, and 元 compression fractures were shown, and on an MRI of the whole spine 3 months later, T6, T9, T10, L1, L2, 元, L4, and L5 compression fractures were shown ( Fig. 2), and therefore, L1 vertebroplasty was performed however, patient's pain did not improve. The compression and burst fracture, AO Type A, happens in the lower lumbar spine. An MRI of the lumbar spine was performed again and showed an L1 compression fracture ( Fig. Despite medication with analgesics for 2 months, the lower back pain was aggravated and the patient complained of gait difficulty due to back pain. A wedge compression fracture is usually a mechanically stable fracture, but can lead to spinal. It usually occurs in the front of the cylinder-shaped vertebra, causing the front of the vertebra to collapse but leaving the back of the bone intact, resulting in a wedge shape. We prescribed analgesics to relieve pain, and had no reason to suspect a secondary vertebral compression fracture. If your Apollo Pain Management team deems your compression fracture treatable using conservative methods, your injury should normally heal within about two to. A wedge fracture is the most common type of compression fracture. Bone mineral density showed osteopenia (mean T-score was - 2.3). The spinal canal stenosis of L 4-5 existed in an MRI of the lumbar spine conducted 2 years earlier, and there was no change in the degree of stenosis. MRI and CT showed mild canal stenosis of L 4-5, but other meaningful abnormal findings were not found ( Fig. Talk with your doctor about the risks and benefits of kyphoplasty to determine if it is the right treatment for you.Radiographic studies including 1.5 Tessler magnetic resonance imaging (MRI) and computed tomography (CT) of his lumbar spine were performed on admission. Compression fractures happen when there is too much pressure on the. Although rare, bone cement can also leak out of the bone and result in nerve aggravation or injury. A vertebral compression fracture (VCF) is a collapse or breakdown in a bone in your spine. These include bleeding, infection and anesthesia-related problems. Kyphoplasty is generally safe, but like any type of surgery, it does have risks. If local anesthesia is used, you will be awake during the surgery but will not feel pain, whereas you will be asleep during general anesthesia. “In just a few minutes, the cement hardens, strengthening and stabilizing the bone to prevent it from collapsing again.”Īlso called balloon kyphoplasty, the procedure may be performed under local or general anesthesia. “Guided by real-time X-ray images, we use a small needle to pass a balloon into the fracture to help restore the height of the collapsed bone, then inject the cement into the space created by the balloon,” says Dr. Kyphoplasty is a minimally invasive surgical procedure that repairs the fractured vertebra using a special type of bone cement.
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