RESUMO
Multiple compression fractures of osteoporotic vertebrae are common in patients with a liver transplant or with chronic liver disease. The authors describe two such patients, treated with percutaneous cement vertebroplasty at 12 levels, respectively in 4 and in 2 sessions. No complications were seen after follow-up periods of 12 and 8 months respectively. However, this is not a grant for the future, and further followup is necessary. Multiple-level cement vertebroplasty should not be generalized before further experience is gained. Moreover, medical treatment continues to play an important role.
Assuntos
Distúrbio Mineral e Ósseo na Doença Renal Crônica/complicações , Fraturas por Compressão/cirurgia , Fraturas da Coluna Vertebral/cirurgia , Vertebroplastia/métodos , Adulto , Idoso , Feminino , Fraturas por Compressão/etiologia , Hepatite C Crônica/complicações , Humanos , Masculino , Fraturas da Coluna Vertebral/etiologiaRESUMO
BACKGROUND CONTEXT: Brucellosis can affect the musculoskeletal system, and bony involvement ranges from 2% to 70% in the literature. Spinal brucellosis is generally localized to the sacroiliac region; thoracic brucellosis is rarely seen. PURPOSE: To present a case with noncontiguous multilevel thoracic brucellosis with spinal cord compression. STUDY DESIGN: Case report. METHODS: The patient underwent aggressive surgical debridement (posterior decompression, fusion and stabilization, and two noncontiguous level anterior corpectomy and fusion procedures with titanium mesh cages). RESULTS: At the latest follow-up of 2 years, her clinical, radiological, and laboratory examination showed no recurrence of infection. The neurological examination was completely normal. CONCLUSION: Early aggressive debridement and stabilization together with medical treatment, especially in the elderly and immunocompromised patients, would be the most beneficial treatment for eradication of pathology.
