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Updated: Aug 27, 2025

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line
Published on: September 13, 2024
Selective nerve block for the treatment of neuralgia in Kummell's disease: A case report
Xin Zhang1, Zong-Xi Li1, Li-Jun Yin1,2
1Department of Anesthesiology and Perioperative Medicine, Shanghai The Fourth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China.
Background:
Neuralgia is frequently noted in patients with Kummell's disease, and its mechanism is complex, rendering it challenging to treat. Percutaneous kyphoplasty (PKP) has been widely used to treat osteoporotic vertebral compression fractures with satisfactory outcomes. However, it is not optimal for managing severely collapsed vertebrae, as cement injection may not be feasible. This report describes the use of a selective nerve block for the treatment of neuralgia caused by severely collapsed vertebrae in a patient with Kummell's disease.
Case Summary:
In our patient, three vertebrae were involved. The collapse of T11 was particularly severe. After managing T8 and T9 using PKP, these two segments were effectively strengthened; consequently, back pain was significantly relieved. However, the structure and strength of T11 could not be effectively restored using a minimally invasive surgical method because there was little room for cement injection. This caused obvious neuralgia according to the postoperative status of the PKP. Thus, we performed selective nerve blocks for the treatment of neuralgia, which resulted in satisfactory outcomes.
Conclusion:
Selective nerve block may be a possible therapeutic strategy for neuralgia due to severely collapsed vertebrae in Kummell's disease.
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