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AJNR - American Journal of Neuroradiology

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Symptomatic Refractures after Vertebroplasty in Patients with Steroid-Induced Osteoporosis

M.I. Syed^a, N.A. Patel^a, S. Jan^a, A. Shaikh^a, B. Grunden^b and K. Morar^a

^a Department of Radiology, Mercy Medical Center, Springfield, Ohio
^b Statistical Consulting Center, Wright State University, Dayton, Ohio

View larger version (92K): [in a new window]   Fig 1. Example of patient with steroid-induced osteoporosis. Lateral thoracic spine plain-film radiograph. Initial prevertebroplasty film demonstrates T6 compression fracture.

View larger version (92K): [in a new window]   Fig 2. Follow-up of the same patient. Lateral thoracic spine plain-film radiograph. One-year follow-up film demonstrates that the patient has undergone vertebroplasties of T5 through T8 and presents with a new fracture of T10 at the time of the study.

View larger version (24K): [in a new window]   Fig 3. Primary and steroid-induced osteoporotic symptomatic refracture rates comparing 1-year follow-up with an extended follow-up

View larger version (30K): [in a new window]   Fig 4. Graphs demonstrating relative frequencies of prevalent and incident fractures in both the steroid and osteoporosis groups.