English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Osteoporotic spinal fractures are seen above previous spinal instrumentation and also found in patients with diffuse idiopathic spondylotic hyperostosis (DISH). In both situations, there is marked spinal rigidity with a limited mobile spinal section that is vulnerable to motion and subsequent fracture with no or minimal trauma especially when there is concurrent osteoporosis. This is an unusual case where the patient developed a vertical anterior avulsion type fracture of T12 through a large bridging spondylotic ventral spur of bone, resulting in severe positional pain above a previous lumbar instrumented fusion. While being managed conservatively with bracing, sequential follow-up magnetic resonance imaging (MRI) and computed tomography (CT) scans showed progressive development of vacuum changes, both in the linear fracture and the adjacent intra-discal space. Vacuum changes are a strong radiologic sign of spinal instability. Because of age and not wanting to undergo further extensive fusion, he was treated with intra-discal and transpedicular placement of bone cement with the resolution of his pain. 

curēus

An Unusual Vertical T12 Fracture Extending into the T12-L1 Disc in a Patient with Diffuse Idiopathic Spondylotic Hyperostosis: A Case Study Using Vertebroplasty to Stabilize the Fracture