Pregnancy- and Lactation-Associated Osteoporotic Vertebral Fracture: A Case Report
Aarti Jadhav1, Shalik Jadhav2, Anuj Varma1
1Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
The report details an instance of a 29-year-old postpartum female who presented to us after six months of delivery and had symptoms of severe back pain since the sixth month of pregnancy. The pain was located in the lower thoracic and lumbar regions. It got aggravated by standing or walking and got relieved by lying down. The pain was radiating from the back to both lower limbs. On examination, forward rounding of the upper back, i.e., kyphosis, was seen, for which the patient was advised to get an X-ray, which was suggestive of severe osteopenia with wedging of L1-L4 vertebrae. For a thorough assessment, MRI was performed, which confirmed exaggerated kyphosis at L1 and L2 with mild scoliosis in the thoracolumbar region. The patient was advised to take calcium and vitamin D supplements with bisphosphonates. A monthly checkup was advised. After four months, the symptoms of the patient were partially eased. On investigation, the serum calcium and phosphorous levels were found to be within the normal range.
The report details an instance of a 29-year-old postpartum female who presented to us after six months of delivery and had symptoms of severe back pain since the sixth month of pregnancy. The pain was located in the lower thoracic and lumbar regions. It got aggravated by standing or walking and got relieved by lying down. The pain was radiating from the back to both lower limbs. On examination, forward rounding of the upper back, i.e., kyphosis, was seen, for which the patient was advised to get an X-ray, which was suggestive of severe osteopenia with wedging of L1-L4 vertebrae. For a thorough assessment, MRI was performed, which confirmed exaggerated kyphosis at L1 and L2 with mild scoliosis in the thoracolumbar region. The patient was advised to take calcium and vitamin D supplements with bisphosphonates. A monthly checkup was advised. After four months, the symptoms of the patient were partially eased. On investigation, the serum calcium and phosphorous levels were found to be within the normal range.
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