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Patients with Osteoporosis on Steroid Medication Tend to Sustain Subsequent Fractures

A. Hiwatashia and P.L. Westessona

a From the Division of Diagnostic and Interventional Neuroradiology, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY


Figure 1
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  		Fig 1. MR images of vertebrae in a 58-year-old woman with a history of long-term steroid use for treatment of a brain tumor. The patient was treated with multiple sessions of vertebroplasty.

A, Initial sagittal T1-weighted image 16 days before treatment shows an acute compression fracture of the L3 vertebral body.

B, Sagittal T1-weighted image 7 days after the initial treatment shows a new compression fracture of the L2 vertebral body. Bone cement is noted in the L3 vertebral body (arrow).

C, Sagittal T1-weighted image 22 days after the second treatment shows a new compression fracture of the L1 vertebral body. Bone cement is noted in the L3 and L2 vertebral bodies (arrows).

D, Sagittal T1-weighted image 27 days after the third treatment shows a new compression fracture of the T11 vertebral body. Bone cement is noted in the L3, L2, and L1 vertebral bodies (arrows).

E, Sagittal T1-weighted image 11 days after the fourth treatment shows a new compression fracture of the T10 vertebral body. Bone cement is noted in the L3, L2, L1, and T11 vertebral bodies (arrows).





Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X