An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block
We report the case of a patient with lymphedema who experienced an osteoporotic vertebral fracture following lumbar sympathetic ganglion block (LSGB). A 66-year-old woman with intractable lymphedema of the right leg went through surgery for cervix cancer. Because she was resistant to conventional tr...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-08-01
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| Series: | Türk Osteoporoz Dergisi |
| Subjects: | |
| Online Access: |
http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/an-osteoporotic-vertebral-fracture-case-after-lumb/61728
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| _version_ | 1797737165206061056 |
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| author | Rıdvan Işık Şahin Azizov Savaş Şencan Osman Hakan Gündüz |
| author_facet | Rıdvan Işık Şahin Azizov Savaş Şencan Osman Hakan Gündüz |
| author_sort | Rıdvan Işık |
| collection | DOAJ |
| description | We report the case of a patient with lymphedema who experienced an osteoporotic vertebral fracture following lumbar sympathetic ganglion block (LSGB). A 66-year-old woman with intractable lymphedema of the right leg went through surgery for cervix cancer. Because she was resistant to conventional treatments, we planned to commence LSGB treatment. Thus, she received two sessions of LSGB administered with a steroid and local anesthetic mixture. After the second session, the patient underwent severe lumbar pain. After thorough anamnesis and physical examination, we decided to use magnetic resonance imaging to rule out the possibility of metastasis. Contrast-enhanced magnetic resonance imaging, which was assessed by an expert spine radiologist, revealed an osteoporotic fracture of the L4 vertebra. The patient’s severe pain considerably diminished in the third month after beginning antiosteoporotic and analgesic medications, orthosis, and exercises. We speculate that the use of steroids in LSGB may lead to osteoporotic vertebral fracture. |
| first_indexed | 2024-03-12T13:24:28Z |
| format | Article |
| id | doaj.art-947ada90d6084686b23485fda31f2f20 |
| institution | Directory Open Access Journal |
| issn | 2147-2653 |
| language | English |
| last_indexed | 2024-03-12T13:24:28Z |
| publishDate | 2023-08-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Osteoporoz Dergisi |
| spelling | doaj.art-947ada90d6084686b23485fda31f2f202023-08-25T10:43:17ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532023-08-0129213013210.4274/tod.galenos.2023.5683313049054An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion BlockRıdvan Işık0Şahin Azizov1Savaş Şencan2Osman Hakan Gündüz3 Sakarya University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Sakarya, Turkey Marmara University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, İstanbul, Turkey Marmara University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, İstanbul, Turkey Marmara University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, İstanbul, Turkey We report the case of a patient with lymphedema who experienced an osteoporotic vertebral fracture following lumbar sympathetic ganglion block (LSGB). A 66-year-old woman with intractable lymphedema of the right leg went through surgery for cervix cancer. Because she was resistant to conventional treatments, we planned to commence LSGB treatment. Thus, she received two sessions of LSGB administered with a steroid and local anesthetic mixture. After the second session, the patient underwent severe lumbar pain. After thorough anamnesis and physical examination, we decided to use magnetic resonance imaging to rule out the possibility of metastasis. Contrast-enhanced magnetic resonance imaging, which was assessed by an expert spine radiologist, revealed an osteoporotic fracture of the L4 vertebra. The patient’s severe pain considerably diminished in the third month after beginning antiosteoporotic and analgesic medications, orthosis, and exercises. We speculate that the use of steroids in LSGB may lead to osteoporotic vertebral fracture. http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/an-osteoporotic-vertebral-fracture-case-after-lumb/61728 low back painlymphedemaosteoporotic fracturesympathetic ganglionsteroids |
| spellingShingle | Rıdvan Işık Şahin Azizov Savaş Şencan Osman Hakan Gündüz An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block Türk Osteoporoz Dergisi low back pain lymphedema osteoporotic fracture sympathetic ganglion steroids |
| title | An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block |
| title_full | An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block |
| title_fullStr | An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block |
| title_full_unstemmed | An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block |
| title_short | An Osteoporotic Vertebral Fracture Case After Lumbar Sympathetic Ganglion Block |
| title_sort | osteoporotic vertebral fracture case after lumbar sympathetic ganglion block |
| topic | low back pain lymphedema osteoporotic fracture sympathetic ganglion steroids |
| url |
http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/an-osteoporotic-vertebral-fracture-case-after-lumb/61728
|
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