A Rare Case of Nontraumatic Thoracic Compression Fracture in a 28-Year-Old Man. Am J Phys Med Rehabil 2021 Mar 01;100(3):e29-e31
Date
07/04/2020Pubmed ID
32618750DOI
10.1097/PHM.0000000000001513Scopus ID
2-s2.0-85102211756 (requires institutional sign-in at Scopus site)Abstract
A 28-yr-old African American man with a history of synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome, tobacco use, and sickle cell trait was referred to a physiatrist at a multidisciplinary spine center with a 1-yr history of nontraumatic thoracic back pain that had significantly worsened over the previous 4 wks. In the context of recurrent infections requiring hospital admissions and the patient's immunosuppressed status, magnetic resonance imaging of his thoracic spine was obtained, showing an acute or subacute anterior compression deformity of the T7 vertebral body. He was subsequently provided with a hyperextension brace, physical therapy referral, and a trial of intranasal calcitonin. The patient reported significant improvement in pain at his 3-mo follow-up appointment and continued to show pain and functional improvement in physical therapy sessions up to 6 mos later.
Author List
Donohue NK, Braza DWAuthor
Diane W. Braza MD Chair, Professor in the Physical Medicine and Rehabilitation department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Acquired Hyperostosis SyndromeAdult
Bone Density Conservation Agents
Braces
Calcitonin
Combined Modality Therapy
Fractures, Compression
Humans
Immunocompromised Host
Male
Pain Measurement
Physical Therapy Modalities
Thoracic Vertebrae
