Rinsho Seikei Geka Volume 38, Issue 12 (December 2003)

MRI Evaluation and Treatment of Osteoporotic Vertebral Compression Fracture Ken Yamaguchi 1 , Koji Otani 1 1Department of Orthopaedics,Minami-Aizu Hospital Keyword: osteoporosis(骨粗鬆症) , vertebral compression fracture(脊椎圧迫骨折) , magnetic resonance imaging(核磁気共鳴画像) pp.1499-1503
Published Date 2003/12/1
DOI https://doi.org/10.11477/mf.1408100887
  • Abstract
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 The purpose of this study was to investigate the relation between Gd-DTPA enhanced MRI findings and the prognosis of the fractured vertebral body in the patients with fresh osteoporotic compression vertebral fractures. Subjects were 8 cases,11 vertebrae. All of the cases were treated with no bed rest and no corset. MRI and radiographs were taken within 1 week after injury. MRI signal intensity of the fractured vertebral body altered low on T1WI at acute phase. When the fractured vertebrae were enhanced at whole area with Gd-DTPA at acute phase,the vertebrae showed no progression of wedge deformity by follow up radiographs. On the other hand,when the fractured vertebrae were not enhanced at whole area,the vertebrae showed progression of wedge deformity. These findings suggests that vertebral fractures in osteoporosis should be taken MRI including GD-DTPA in acute phase after injury. When the fractured vertebrae are enhanced with Gd-DTPA in whole body at acute phase,the fracture may need no special treatment. In conclusion,Gd-DTPA enhanced MRI may be useful to determine the prognosis of the osteoporotic compression fracture.

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38巻12号 (2003年12月)
電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院