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Spinal cord compression related to vertebral osteonecrosis
J L Feldmann1, M Alcalay, J Y Queinnec
1Department of Rheumatology, Hopital Cochin, Paris, France.
Clinical and Experimental Rheumatology
|July 1, 1988
Summary
Spinal cord compression from vertebral collapse due to osteonecrosis is rare. Osteoporosis, corticotherapy, and radiotherapy are key risk factors for this condition.
Area of Science:
- Orthopedics
- Neurology
- Radiology
Background:
- Vertebral collapse can lead to spinal cord compression.
- Osteonecrosis of the spine is an uncommon cause of vertebral collapse.
Observation:
- Three cases of spinal cord compression secondary to vertebral collapse from osteonecrosis are presented.
- Two cases required surgical decompression for diagnosis and treatment.
- One case was diagnosed via radiological evidence of an intravertebral vacuum phenomenon.
Findings:
- Osteoporosis, corticotherapy (corticosteroid therapy), and radiotherapy were identified as contributing etiologic factors.
- Neurologic complications associated with osteonecrosis-related vertebral collapse were analyzed in comparison to osteoporosis.
Implications:
- Highlights the importance of considering osteonecrosis in vertebral collapse, especially with risk factors like osteoporosis and steroid use.
- Suggests a potential need for increased vigilance regarding neurologic complications in these patients.
- Contributes to understanding the differential diagnosis and management of vertebral collapse with spinal cord compression.