Article Figures & Data
Figures
- Fig 1.
MR images of vertebrae in a 58-year-old woman with a history of long-term steroid use for treatment of a brain tumor. The patient was treated with multiple sessions of vertebroplasty.
A, Initial sagittal T1-weighted image 16 days before treatment shows an acute compression fracture of the L3 vertebral body.
B, Sagittal T1-weighted image 7 days after the initial treatment shows a new compression fracture of the L2 vertebral body. Bone cement is noted in the L3 vertebral body (arrow).
C, Sagittal T1-weighted image 22 days after the second treatment shows a new compression fracture of the L1 vertebral body. Bone cement is noted in the L3 and L2 vertebral bodies (arrows).
D, Sagittal T1-weighted image 27 days after the third treatment shows a new compression fracture of the T11 vertebral body. Bone cement is noted in the L3, L2, and L1 vertebral bodies (arrows).
E, Sagittal T1-weighted image 11 days after the fourth treatment shows a new compression fracture of the T10 vertebral body. Bone cement is noted in the L3, L2, L1, and T11 vertebral bodies (arrows).
Tables
Location Treated Untreated T2 0 1 T3 0 0 T4 1 1 T5 2 3 T6 4 1 T7 5 6 T8 5 5 T9 2 6 T10 8 1 T11 8 7 T12 6 6 L1 17 6 L2 8 4 L3 5 6 L4 6 3 L5 2 0 Total 79 56 - Table 2:
Relationship between use of steroid medication and presence of subsequent fractures (no. of patients)
Steroid Use No Steroid Use Total Fractures 11 9 20 No fractures 5 30 35 Total 16 39 55 Variable Regression Coefficient SE Wald Statistic 95% CI Steroid 1.796 0.791 5.151 1.278–28.421 Treatment for osteoporosis −0.709 0.701 1.024 0.125–1.943 Age −0.280 0.034 0.665 0.909–1.040 Male sex 0.175 0.735 0.057 0.282–5.032 Note:—CI indicates confidence interval.
- Table 4:
Relationship between use of steroid medication and location of subsequent fractures (no. of patients)
Location Steroid Use No Steroid Use Total Adjacent vertebrae 6 10 16 Remote vertebrae 10 2 12 Total 16 12 28 Note:—Remote vertebrae indicate the fractured vertebrae that had at least 1 nonfractured vertebra between the treated vertebrae.
